Provider Demographics
NPI:1700902582
Name:COUNSELING, LTD.
Entity Type:Organization
Organization Name:COUNSELING, LTD.
Other - Org Name:COUNSELING, LTD.
Other - Org Type:Doing Business As
Authorized Official - Title/Position:LIC PROF CLINICAL COUNSELOR
Authorized Official - Prefix:
Authorized Official - First Name:JACQUELINE
Authorized Official - Middle Name:W
Authorized Official - Last Name:ROSE
Authorized Official - Suffix:
Authorized Official - Credentials:LPCC
Authorized Official - Phone:614-870-6670
Mailing Address - Street 1:1205 RESTON CT
Mailing Address - Street 2:
Mailing Address - City:KNOXVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37923-2066
Mailing Address - Country:US
Mailing Address - Phone:614-607-3256
Mailing Address - Fax:614-870-6855
Practice Address - Street 1:1535 GEORGESVILLE RD
Practice Address - Street 2:
Practice Address - City:COLUMBUS
Practice Address - State:OH
Practice Address - Zip Code:43228-3615
Practice Address - Country:US
Practice Address - Phone:614-870-6670
Practice Address - Fax:614-870-6855
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-22
Last Update Date:2019-02-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
101YP2500X
OHE-0002439251S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes251S00000XAgenciesCommunity/Behavioral Health
No101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessionalGroup - Multi-Specialty