Provider Demographics
NPI:1841649092
Name:OHIOHEALTH GENETIC COUNSELING
Entity type:Organization
Organization Name:OHIOHEALTH GENETIC COUNSELING
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:LICENSED GENETIC COUNSELOR
Authorized Official - Prefix:
Authorized Official - First Name:NICHOLE
Authorized Official - Middle Name:A
Authorized Official - Last Name:MORMAN
Authorized Official - Suffix:
Authorized Official - Credentials:MS, LGC
Authorized Official - Phone:614-788-4642
Mailing Address - Street 1:500 THOMAS LN
Mailing Address - Street 2:STE 2D
Mailing Address - City:COLUMBUS
Mailing Address - State:OH
Mailing Address - Zip Code:43214-1401
Mailing Address - Country:US
Mailing Address - Phone:614-788-4640
Mailing Address - Fax:614-788-4650
Practice Address - Street 1:500 THOMAS LN
Practice Address - Street 2:STE 2D
Practice Address - City:COLUMBUS
Practice Address - State:OH
Practice Address - Zip Code:43214-1401
Practice Address - Country:US
Practice Address - Phone:614-788-4640
Practice Address - Fax:614-788-4650
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-06-08
Last Update Date:2016-10-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QG0250XAmbulatory Health Care FacilitiesClinic/CenterGenetics