Ellice Park
Professional Counselor in Columbus, OH(View on Map)
Full Name
Ellice Park
NPI Number
1356891477
NPI Type
Individual Provider
Gender
Female
Enumeration Date
10/12/2016
Specialties
(Taxonomies)Name
Code
101YP2500X
101YA0400X
101Y00000X
171400000X
101YM0800X
171000000X
101YP1600X
101YS0200X
Primary Taxonomy
Yes
No
No
No
No
No
No
No
Licenses
State
Ohio
Ohio
License Number
150556
C.1500556
Contact
Information
Purpose
Mailing
Location
Address
PO BOX 910 LOT 1210
4449 EASTON WAY STE 200
City
Columbus
Columbus
State
OH
OH
Postal Code
43216
43219
Country
US
US
Telephone Number
(614) 568-3233
(614) 568-3233
Health Information Exchange
Endpoint Type
CONNECT
Endpoint
https://counselorpark.com/referral-form-for-docs-pastors-clinicians-coaches/
Endpoint Description
Referral form for Professionals and HCW
Use
Direct
Content Type
Other
Other Description:Referral Form for Professionals and HCW
Affiliation
N
Endpoint Location
4449 Easton Way Ste 200Columbus, OH43219US
Provider data last refreshed from NPPES NPI registry on 11/19/2024
Data last updated by provider on 09/03/2021
Provider Address
Other Professional Counselors in Columbus, Ohio:
