Provider Demographics
NPI:1225377047
Name:AMITY CIRCLE COUNSELING SERVICES
Entity Type:Organization
Organization Name:AMITY CIRCLE COUNSELING SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:THERAPIST/OWNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:TANYA
Authorized Official - Middle Name:MAY
Authorized Official - Last Name:MCLYMONT-MITCHELL
Authorized Official - Suffix:
Authorized Official - Credentials:LPCC
Authorized Official - Phone:614-886-1238
Mailing Address - Street 1:6797 N HIGH ST
Mailing Address - Street 2:#155
Mailing Address - City:WORTHINGTON
Mailing Address - State:OH
Mailing Address - Zip Code:43085-2533
Mailing Address - Country:US
Mailing Address - Phone:614-886-1238
Mailing Address - Fax:740-524-2010
Practice Address - Street 1:6797 N HIGH ST
Practice Address - Street 2:#155
Practice Address - City:WORTHINGTON
Practice Address - State:OH
Practice Address - Zip Code:43085-2533
Practice Address - Country:US
Practice Address - Phone:614-886-1238
Practice Address - Fax:740-524-2010
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-02-14
Last Update Date:2013-02-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHE0600702101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessionalGroup - Single Specialty