Provider Demographics
NPI:1407266703
Name:BLUESTONE COUNSELING LLC
Entity Type:Organization
Organization Name:BLUESTONE COUNSELING LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:TRACI
Authorized Official - Middle Name:ROSE
Authorized Official - Last Name:CAHILL
Authorized Official - Suffix:
Authorized Official - Credentials:PCC-S
Authorized Official - Phone:614-406-0299
Mailing Address - Street 1:3748 KILMUIR DR
Mailing Address - Street 2:
Mailing Address - City:COLUMBUS
Mailing Address - State:OH
Mailing Address - Zip Code:43221-5606
Mailing Address - Country:US
Mailing Address - Phone:614-406-0299
Mailing Address - Fax:866-594-7023
Practice Address - Street 1:5701 N HIGH ST STE 308
Practice Address - Street 2:
Practice Address - City:WORTHINGTON
Practice Address - State:OH
Practice Address - Zip Code:43085-3960
Practice Address - Country:US
Practice Address - Phone:614-406-0299
Practice Address - Fax:866-594-7023
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-05-07
Last Update Date:2024-04-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHE 1100011101YM0800X
261QM0850X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Single Specialty
No261QM0850XAmbulatory Health Care FacilitiesClinic/CenterAdult Mental HealthGroup - Single Specialty