ELLICE PARK NPI 1356891477

NPI Information

NPI: 1356891477
Provider Name: ELLICE PARK
Classification: Counselor - 101YP2500X
Entity Type: Individual

Specialization: Professional

Address:
4449 EASTON WAY STE 200
COLUMBUS, OH
ZIP 43219
Phone: (614) 568-3233
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Ellice Park is a professional counselor in Columbus, OH. Ellice Park NPI is 1356891477. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

4449 EASTON WAY STE 200
COLUMBUS, OH
ZIP 43219
Phone: (614) 568-3233

The enumeration date for this NPI number is 10/12/2016 and was last updated on 9/3/2021.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	101YP2500X	Counselor	Professional	C.1500556	OHIO	No
2	101Y00000X	Counselor		150556	OHIO	No
3	101YA0400X	Counselor	Addiction (Substance Use Disorder)			No
4	101YM0800X	Counselor	Mental Health	150556	OHIO	No
5	101YP1600X	Counselor	Pastoral			No
6	101YS0200X	Counselor	School	150556	OHIO	No
7	171000000X	Military Health Care Provider				No
8	171400000X	Health and Wellness Coach				No
9	101YP2500X	Counselor	Professional	150556	OHIO	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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