| Rutti Counseling & Consultation Llc | |
|
1200 West 5th Avenue Suite 102d Columbus OH 43212-2503 | |
| (614) 398-1927 | |
| (614) 859-5176 |
| Full Name | Rutti Counseling & Consultation Llc |
|---|---|
| Speciality | Community/Behavioral Health |
| Location | 1200 West 5th Avenue, Columbus, Ohio |
| Authorized Official Name and Position | Candice West (AUTHORIZED OFFICIAL) |
| Authorized Official Contact | 9373608434 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Rutti Counseling & Consultation Llc 1200 West 5th Avenue Suite 102d Columbus OH 43212-2503 Ph: (614) 398-1927 | Rutti Counseling & Consultation Llc 1200 West 5th Avenue Suite 102d Columbus OH 43212-2503 Ph: (614) 398-1927 |
| NPI Number | 1972048734 |
|---|---|
| Provider Enumeration Date | 01/03/2017 |
| Last Update Date | 12/16/2021 |
| Certification Date | 12/16/2021 |
| Medicare PECOS PAC ID | 8527451368 |
|---|---|
| Medicare Enrollment ID | O20220131001675 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1972048734 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | I.0800234-SUPV (Ohio) | Primary |
| Provider Name | Suzanne Rutti |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1982812533 PECOS PAC ID: 8426201757 Enrollment ID: I20130116000388 |
| Provider Name | Kimberly Johnson-smith |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1588013957 PECOS PAC ID: 5496047375 Enrollment ID: I20160713001997 |
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