Provider Demographics
NPI:1467147207
Name:BLUE THISTLE COUNSELING
Entity Type:Organization
Organization Name:BLUE THISTLE COUNSELING
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:BILLER
Authorized Official - Prefix:
Authorized Official - First Name:CANDICE
Authorized Official - Middle Name:
Authorized Official - Last Name:WEST
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:937-360-8434
Mailing Address - Street 1:87 BREVOORT RD
Mailing Address - Street 2:
Mailing Address - City:COLUMBUS
Mailing Address - State:OH
Mailing Address - Zip Code:43214-3823
Mailing Address - Country:US
Mailing Address - Phone:740-804-9529
Mailing Address - Fax:
Practice Address - Street 1:87 BREVOORT RD
Practice Address - Street 2:
Practice Address - City:COLUMBUS
Practice Address - State:OH
Practice Address - Zip Code:43214-3823
Practice Address - Country:US
Practice Address - Phone:740-804-9529
Practice Address - Fax:937-606-3077
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-04-07
Last Update Date:2023-04-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes104100000XBehavioral Health & Social Service ProvidersSocial WorkerGroup - Single Specialty