Provider Demographics
NPI:1194532630
Name:ELEABLE LLC
Entity type:Organization
Organization Name:ELEABLE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PSYCHOMETRICIAN
Authorized Official - Prefix:
Authorized Official - First Name:GABRIELE
Authorized Official - Middle Name:
Authorized Official - Last Name:EATO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:614-721-5430
Mailing Address - Street 1:6775 BLUEBIRD PL
Mailing Address - Street 2:
Mailing Address - City:HILLIARD
Mailing Address - State:OH
Mailing Address - Zip Code:43026-2263
Mailing Address - Country:US
Mailing Address - Phone:614-721-5430
Mailing Address - Fax:
Practice Address - Street 1:6775 BLUEBIRD PL
Practice Address - Street 2:
Practice Address - City:HILLIARD
Practice Address - State:OH
Practice Address - Zip Code:43026-2263
Practice Address - Country:US
Practice Address - Phone:614-721-5430
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-12-17
Last Update Date:2024-12-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0801XAmbulatory Health Care FacilitiesClinic/CenterMental Health (Including Community Mental Health Center)