Provider Demographics
NPI:1780018911
Name:L. A. COUNSELING SERVICES
Entity Type:Organization
Organization Name:L. A. COUNSELING SERVICES
Other - Org Name:L. A. COUNSELING SERVICES,LLC
Other - Org Type:Doing Business As
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:LEA
Authorized Official - Middle Name:A
Authorized Official - Last Name:ARDOVINO
Authorized Official - Suffix:
Authorized Official - Credentials:PCC
Authorized Official - Phone:614-296-9596
Mailing Address - Street 1:6797 N HIGH ST
Mailing Address - Street 2:100
Mailing Address - City:WORTHINGTON
Mailing Address - State:OH
Mailing Address - Zip Code:43085-2533
Mailing Address - Country:US
Mailing Address - Phone:614-296-9596
Mailing Address - Fax:
Practice Address - Street 1:6797 N HIGH ST
Practice Address - Street 2:100
Practice Address - City:WORTHINGTON
Practice Address - State:OH
Practice Address - Zip Code:43085-2533
Practice Address - Country:US
Practice Address - Phone:614-296-9596
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-08-23
Last Update Date:2013-08-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Multi-Specialty