Provider Demographics
NPI:1073335899
Name:IVY AND SAGE COUNSELING
Entity type:Organization
Organization Name:IVY AND SAGE COUNSELING
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/THERAPIST
Authorized Official - Prefix:
Authorized Official - First Name:KATHRYN
Authorized Official - Middle Name:
Authorized Official - Last Name:BARRETT
Authorized Official - Suffix:
Authorized Official - Credentials:LPCC-S
Authorized Official - Phone:380-233-8057
Mailing Address - Street 1:551 MEADOW GREEN CIR
Mailing Address - Street 2:
Mailing Address - City:GAHANNA
Mailing Address - State:OH
Mailing Address - Zip Code:43230-3179
Mailing Address - Country:US
Mailing Address - Phone:567-203-8694
Mailing Address - Fax:
Practice Address - Street 1:200 W BRIDGE ST STE B
Practice Address - Street 2:
Practice Address - City:DUBLIN
Practice Address - State:OH
Practice Address - Zip Code:43017-1141
Practice Address - Country:US
Practice Address - Phone:380-233-8057
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-10-31
Last Update Date:2024-10-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0801XAmbulatory Health Care FacilitiesClinic/CenterMental Health (Including Community Mental Health Center)