Provider Demographics
NPI:1790165777
Name:REFLECTIONS COUNSELING CENTER OF COLUMBUS
Entity Type:Organization
Organization Name:REFLECTIONS COUNSELING CENTER OF COLUMBUS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:ELIZABETH
Authorized Official - Middle Name:MARIA
Authorized Official - Last Name:OLATE
Authorized Official - Suffix:
Authorized Official - Credentials:LISW-S
Authorized Official - Phone:614-390-6482
Mailing Address - Street 1:1550 OLD HENDERSON RD
Mailing Address - Street 2:SUITE N-246
Mailing Address - City:COLUMBUS
Mailing Address - State:OH
Mailing Address - Zip Code:43220-3626
Mailing Address - Country:US
Mailing Address - Phone:614-390-6482
Mailing Address - Fax:614-453-8573
Practice Address - Street 1:1550 OLD HENDERSON RD
Practice Address - Street 2:SUITE N-246
Practice Address - City:COLUMBUS
Practice Address - State:OH
Practice Address - Zip Code:43220-3626
Practice Address - Country:US
Practice Address - Phone:614-390-6482
Practice Address - Fax:614-453-8573
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-06-04
Last Update Date:2015-06-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHI.1101252.SUPV1041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Multi-Specialty