Provider Demographics
NPI:1205073707
Name:BATES, GENA K (LPCC-S)
Entity type:Individual
Prefix:
First Name:GENA
Middle Name:K
Last Name:BATES
Suffix:
Gender:F
Credentials:LPCC-S
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:150 E WILSON BRIDGE RD STE 100
Mailing Address - Street 2:
Mailing Address - City:WORTHINGTON
Mailing Address - State:OH
Mailing Address - Zip Code:43085-2328
Mailing Address - Country:US
Mailing Address - Phone:614-333-0082
Mailing Address - Fax:614-515-4986
Practice Address - Street 1:150 E WILSON BRIDGE RD STE 100
Practice Address - Street 2:
Practice Address - City:WORTHINGTON
Practice Address - State:OH
Practice Address - Zip Code:43085-2328
Practice Address - Country:US
Practice Address - Phone:614-333-0082
Practice Address - Fax:614-515-4986
Is Sole Proprietor?:No
Enumeration Date:2009-01-21
Last Update Date:2025-02-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHE.0500337-SUPV101YP2500X
101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health