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287 W Johnstown Rd Columbus OH 43230-2732 | |
| (614) 305-5102 | |
| Not Available |
| Full Name | |
|---|---|
| Speciality | Counselor |
| Location | 287 W Johnstown Rd, Columbus, Ohio |
| Authorized Official Name and Position | Rachel Lynette Mcpherson (OWNER) |
| Authorized Official Contact | 6143055102 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
287 W Johnstown Rd Columbus OH 43230-2732 Ph: (614) 305-5102 | 287 W Johnstown Rd Columbus OH 43230-2732 Ph: (614) 305-5102 |
| NPI Number | 1851158695 |
|---|---|
| Provider Enumeration Date | 02/28/2024 |
| Last Update Date | 02/06/2025 |
| Certification Date | 01/24/2025 |
| Medicare PECOS PAC ID | 9931631553 |
|---|---|
| Medicare Enrollment ID | O20241021000781 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1851158695 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | (* (Not Available)) | Primary |
| Provider Name | Rachel Lynette Mcpherson |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1174830723 PECOS PAC ID: 1557893393 Enrollment ID: I20241017001495 |
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