Provider Demographics
NPI:1215177449
Name:KIRRIN COUNSELING
Entity type:Organization
Organization Name:KIRRIN COUNSELING
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATIVE DIRECTOR/THERAPIST
Authorized Official - Prefix:MS
Authorized Official - First Name:ANGELA
Authorized Official - Middle Name:LYNN
Authorized Official - Last Name:BANKS-MASON
Authorized Official - Suffix:
Authorized Official - Credentials:LISW-S
Authorized Official - Phone:614-436-6250
Mailing Address - Street 1:700 MORSE RD
Mailing Address - Street 2:SUITE #105
Mailing Address - City:COLUMBUS
Mailing Address - State:OH
Mailing Address - Zip Code:43214-1879
Mailing Address - Country:US
Mailing Address - Phone:614-436-6250
Mailing Address - Fax:614-436-6290
Practice Address - Street 1:700 MORSE RD
Practice Address - Street 2:SUITE #105
Practice Address - City:COLUMBUS
Practice Address - State:OH
Practice Address - Zip Code:43214-1879
Practice Address - Country:US
Practice Address - Phone:614-436-6250
Practice Address - Fax:614-436-6290
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-02-27
Last Update Date:2010-05-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0801XAmbulatory Health Care FacilitiesClinic/CenterMental Health (Including Community Mental Health Center)