| Kelly Altic Lisw-s Counseling Llc | |
|
670 Meridian Way Ste 225 Westerville OH 43082-2304 | |
| (614) 974-9808 | |
| Not Available |
| Full Name | Kelly Altic Lisw-s Counseling Llc |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 670 Meridian Way Ste 225, Westerville, Ohio |
| Authorized Official Name and Position | Kelly Altic (OWNER) |
| Authorized Official Contact | 6149749808 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Kelly Altic Lisw-s Counseling Llc 670 Meridian Way Ste 225 Westerville OH 43082-2304 Ph: (614) 974-9808 | Kelly Altic Lisw-s Counseling Llc 670 Meridian Way Ste 225 Westerville OH 43082-2304 Ph: (614) 974-9808 |
| NPI Number | 1043891898 |
|---|---|
| Provider Enumeration Date | 04/14/2021 |
| Last Update Date | 04/14/2021 |
| Certification Date | 04/14/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1043891898 | NPI | - | NPPES |
| 0324160 | Medicaid | OH |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
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