Provider Demographics
NPI:1487190484
Name:MICHAEL PERCIFUL DBA COUNSELING SOLUTIONS
Entity Type:Organization
Organization Name:MICHAEL PERCIFUL DBA COUNSELING SOLUTIONS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:BUSINESS OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:MICHAEL
Authorized Official - Middle Name:DAVID
Authorized Official - Last Name:PERCIFUL
Authorized Official - Suffix:
Authorized Official - Credentials:LPCC-S
Authorized Official - Phone:614-209-5582
Mailing Address - Street 1:8862 COMMERCE LOOP DR
Mailing Address - Street 2:
Mailing Address - City:COLUMBUS
Mailing Address - State:OH
Mailing Address - Zip Code:43240-2121
Mailing Address - Country:US
Mailing Address - Phone:614-209-5582
Mailing Address - Fax:614-880-9802
Practice Address - Street 1:8862 COMMERCE LOOP DR
Practice Address - Street 2:
Practice Address - City:COLUMBUS
Practice Address - State:OH
Practice Address - Zip Code:43240-2121
Practice Address - Country:US
Practice Address - Phone:614-209-5582
Practice Address - Fax:614-880-9802
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-01-13
Last Update Date:2017-01-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHE.0500726251K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251K00000XAgenciesPublic Health or Welfare