Provider Demographics
NPI:1992096531
Name:LIFECARE COUNSELING, LLC.
Entity type:Organization
Organization Name:LIFECARE COUNSELING, LLC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PROGRAM DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:PATRICIA
Authorized Official - Middle Name:A
Authorized Official - Last Name:KREBS
Authorized Official - Suffix:
Authorized Official - Credentials:PCC
Authorized Official - Phone:614-885-9417
Mailing Address - Street 1:8145 N HIGH ST
Mailing Address - Street 2:
Mailing Address - City:COLUMBUS
Mailing Address - State:OH
Mailing Address - Zip Code:43235-1441
Mailing Address - Country:US
Mailing Address - Phone:614-885-9417
Mailing Address - Fax:
Practice Address - Street 1:8145 N HIGH ST
Practice Address - Street 2:
Practice Address - City:COLUMBUS
Practice Address - State:OH
Practice Address - Zip Code:43235-1441
Practice Address - Country:US
Practice Address - Phone:614-885-9417
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-05-01
Last Update Date:2011-05-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHE.0500981101Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselorGroup - Single Specialty