Park, Ellice

Park, Ellice is an individual health care provider with primary practice located at 4449 Easton Way Ste 200 , Columbus OH 43219. She recently has 7 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Professional, Behavioral Health & Social Service Providers / Counselor, Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Behavioral Health & Social Service Providers / Mental Health, Behavioral Health & Social Service Providers / Pastoral, Behavioral Health & Social Service Providers / School, Other Service Providers / Military Health Care Provider. Behavioral Health & Social Service Providers / Professional is her primary health care specialty. Park, Ellice can be contacted via phone (614) 568-3233.

Contact Information

Primary practice address
4449 Easton Way Ste 200 Columbus OH 43219
Phone: (614) 568-3233
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Professional 101YP2500X C.1500556 Ohio
Behavioral Health & Social Service Providers / Counselor 101Y00000X 150556 Ohio
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X
Behavioral Health & Social Service Providers / Mental Health 101YM0800X 150556 Ohio
Behavioral Health & Social Service Providers / Pastoral 101YP1600X
Behavioral Health & Social Service Providers / School 101YS0200X 150556 Ohio
Other Service Providers / Military Health Care Provider 171000000X
Behavioral Health & Social Service Providers / Professional 101YP2500X 150556 Ohio

Profile Details

NPI number 1356891477
LBN Legal business name Park, Ellice
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 12th, 2016
Last updated Sep 3rd, 2021 - about 3 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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