Provider Demographics
NPI:1770002594
Name:GENERATIONS COUNSELING & PSYCHOTHERAPY, LLC.
Entity Type:Organization
Organization Name:GENERATIONS COUNSELING & PSYCHOTHERAPY, LLC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CLINICAL SOCIAL WORKER
Authorized Official - Prefix:MS
Authorized Official - First Name:LISA
Authorized Official - Middle Name:
Authorized Official - Last Name:HARTMAN
Authorized Official - Suffix:
Authorized Official - Credentials:LISW
Authorized Official - Phone:614-450-0894
Mailing Address - Street 1:5900 N HIGH ST STE 130
Mailing Address - Street 2:
Mailing Address - City:WORTHINGTON
Mailing Address - State:OH
Mailing Address - Zip Code:43085-3956
Mailing Address - Country:US
Mailing Address - Phone:614-450-0894
Mailing Address - Fax:614-645-5065
Practice Address - Street 1:5900 N HIGH ST STE 130
Practice Address - Street 2:
Practice Address - City:WORTHINGTON
Practice Address - State:OH
Practice Address - Zip Code:43085-3956
Practice Address - Country:US
Practice Address - Phone:614-450-0894
Practice Address - Fax:614-645-5065
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-09-13
Last Update Date:2021-11-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHI.15001031041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Single Specialty