Provider Demographics
NPI:1275180622
Name:MILENA ELISE COUNSELING & CONSULTATION
Entity Type:Organization
Organization Name:MILENA ELISE COUNSELING & CONSULTATION
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:MILENA
Authorized Official - Middle Name:
Authorized Official - Last Name:BRUMBAUGH
Authorized Official - Suffix:
Authorized Official - Credentials:LISW
Authorized Official - Phone:419-512-4087
Mailing Address - Street 1:528 PARK BLVD
Mailing Address - Street 2:
Mailing Address - City:WORTHINGTON
Mailing Address - State:OH
Mailing Address - Zip Code:43085-3742
Mailing Address - Country:US
Mailing Address - Phone:614-810-1023
Mailing Address - Fax:
Practice Address - Street 1:3636 N HIGH ST STE 201
Practice Address - Street 2:
Practice Address - City:COLUMBUS
Practice Address - State:OH
Practice Address - Zip Code:43214-3656
Practice Address - Country:US
Practice Address - Phone:614-810-1023
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-08-21
Last Update Date:2023-10-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Single Specialty