Provider Demographics
NPI:1740589811
Name:MESNICK, CARSTON (LPCC-S)
Entity type:Individual
Prefix:
First Name:CARSTON
Middle Name:
Last Name:MESNICK
Suffix:
Gender:
Credentials:LPCC-S
Other - Prefix:
Other - First Name:CARLY
Other - Middle Name:
Other - Last Name:MESNICK
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LPCC-S
Mailing Address - Street 1:106 N HIGH ST APT 303
Mailing Address - Street 2:
Mailing Address - City:COLUMBUS
Mailing Address - State:OH
Mailing Address - Zip Code:43215-3038
Mailing Address - Country:US
Mailing Address - Phone:614-398-4983
Mailing Address - Fax:
Practice Address - Street 1:106 N HIGH ST APT 303
Practice Address - Street 2:
Practice Address - City:COLUMBUS
Practice Address - State:OH
Practice Address - Zip Code:43215-3038
Practice Address - Country:US
Practice Address - Phone:614-398-4983
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-03-15
Last Update Date:2025-02-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHC.070090101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health