Provider Demographics
NPI:1831438258
Name:EVANS, SETH (LPCC-S)
Entity type:Individual
Prefix:
First Name:SETH
Middle Name:
Last Name:EVANS
Suffix:
Gender:M
Credentials:LPCC-S
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1985 W. HENDERSON RD #163
Mailing Address - Street 2:
Mailing Address - City:COLUMBUS
Mailing Address - State:OH
Mailing Address - Zip Code:43220
Mailing Address - Country:US
Mailing Address - Phone:614-459-3003
Mailing Address - Fax:614-459-3004
Practice Address - Street 1:1565 BETHEL RD.
Practice Address - Street 2:SUITE 200
Practice Address - City:COLUMBUS
Practice Address - State:OH
Practice Address - Zip Code:43220
Practice Address - Country:US
Practice Address - Phone:614-459-3003
Practice Address - Fax:614-459-3004
Is Sole Proprietor?:Yes
Enumeration Date:2013-02-05
Last Update Date:2018-05-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH1100505101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional