Provider Demographics
NPI:1508182403
Name:FLEMING, ALISHA NICOLE (LPCC)
Entity Type:Individual
Prefix:MRS
First Name:ALISHA
Middle Name:NICOLE
Last Name:FLEMING
Suffix:
Gender:F
Credentials:LPCC
Other - Prefix:
Other - First Name:ALISHA
Other - Middle Name:
Other - Last Name:BATES
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LPCC
Mailing Address - Street 1:431 E BROAD ST
Mailing Address - Street 2:
Mailing Address - City:COLUMBUS
Mailing Address - State:OH
Mailing Address - Zip Code:43215-3820
Mailing Address - Country:US
Mailing Address - Phone:614-796-6978
Mailing Address - Fax:
Practice Address - Street 1:431 E BROAD ST
Practice Address - Street 2:
Practice Address - City:COLUMBUS
Practice Address - State:OH
Practice Address - Zip Code:43215-3820
Practice Address - Country:US
Practice Address - Phone:614-796-6978
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2010-04-16
Last Update Date:2017-04-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS2122101YP2500X
OHE.0602251101Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor
No101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional