Provider Demographics
NPI:1588009054
Name:EQUANIMITY COUNSELING & CONSULTATION, LLC
Entity type:Organization
Organization Name:EQUANIMITY COUNSELING & CONSULTATION, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER, CLINICAL COUNSELOR
Authorized Official - Prefix:
Authorized Official - First Name:NANCY
Authorized Official - Middle Name:A
Authorized Official - Last Name:LITTLE
Authorized Official - Suffix:
Authorized Official - Credentials:PCC
Authorized Official - Phone:614-999-4122
Mailing Address - Street 1:1508 HESS ST
Mailing Address - Street 2:
Mailing Address - City:GRANDVIEW
Mailing Address - State:OH
Mailing Address - Zip Code:43212-2679
Mailing Address - Country:US
Mailing Address - Phone:614-999-4122
Mailing Address - Fax:888-216-8339
Practice Address - Street 1:1508 HESS ST
Practice Address - Street 2:
Practice Address - City:GRANDVIEW
Practice Address - State:OH
Practice Address - Zip Code:43212-2679
Practice Address - Country:US
Practice Address - Phone:614-999-4122
Practice Address - Fax:888-216-8339
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-05-09
Last Update Date:2013-05-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHE7723251S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health