Provider Demographics
NPI:1598111395
Name:HAGY, CHELSEA (LPCC)
Entity Type:Individual
Prefix:
First Name:CHELSEA
Middle Name:
Last Name:HAGY
Suffix:
Gender:F
Credentials:LPCC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3964 E MAIN ST
Mailing Address - Street 2:
Mailing Address - City:COLUMBUS
Mailing Address - State:OH
Mailing Address - Zip Code:43213-2949
Mailing Address - Country:US
Mailing Address - Phone:614-252-2500
Mailing Address - Fax:
Practice Address - Street 1:6500 EMERALD PKWY
Practice Address - Street 2:
Practice Address - City:DUBLIN
Practice Address - State:OH
Practice Address - Zip Code:43016-6235
Practice Address - Country:US
Practice Address - Phone:614-503-0665
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2016-05-11
Last Update Date:2021-07-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHC.1500805-TRNE101YP2500X
OHE.2102347101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
Provider Identifiers
StateIdentifier IDID TypeIssuer
OHC.1500805-TRNEMedicaid