Provider Demographics
NPI:1689191991
Name:COLUMBUS TUTORING SERVICES, LLC
Entity Type:Organization
Organization Name:COLUMBUS TUTORING SERVICES, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:RAYNA
Authorized Official - Middle Name:GORDON
Authorized Official - Last Name:WEINER
Authorized Official - Suffix:
Authorized Official - Credentials:MED
Authorized Official - Phone:919-673-8337
Mailing Address - Street 1:PO BOX 91065
Mailing Address - Street 2:
Mailing Address - City:COLUMBUS
Mailing Address - State:OH
Mailing Address - Zip Code:43209-7065
Mailing Address - Country:US
Mailing Address - Phone:919-673-8337
Mailing Address - Fax:
Practice Address - Street 1:2700 E MAIN ST STE 211
Practice Address - Street 2:
Practice Address - City:COLUMBUS
Practice Address - State:OH
Practice Address - Zip Code:43209-2536
Practice Address - Country:US
Practice Address - Phone:919-673-8337
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-08-28
Last Update Date:2017-08-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior AnalystGroup - Multi-Specialty
No106S00000XBehavioral Health & Social Service ProvidersBehavior TechnicianGroup - Single Specialty
No174400000XOther Service ProvidersSpecialistGroup - Multi-Specialty