| Potentia Counseling Llc | |
|
5925 Cleveland Ave Suite A Columbus OH 43231 | |
| (614) 989-0253 | |
| Not Available |
| Full Name | Potentia Counseling Llc |
|---|---|
| Speciality | Counselor - Professional |
| Location | 5925 Cleveland Ave, Columbus, Ohio |
| Authorized Official Name and Position | Stephen Duraney (OWNER) |
| Authorized Official Contact | 6149890253 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Potentia Counseling Llc 600 Enfield Rd Columbus OH 43209 Ph: (614) 989-0253 | Potentia Counseling Llc 5925 Cleveland Ave Suite A Columbus OH 43231 Ph: (614) 989-0253 |
| NPI Number | 1528608429 |
|---|---|
| Provider Enumeration Date | 01/09/2020 |
| Last Update Date | 01/09/2020 |
| Certification Date | 01/09/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1528608429 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | (* (Not Available)) | Secondary |
| 101YP2500X | Counselor - Professional | (* (Not Available)) | Primary |
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