| The Gap Initiative | |
|
1611 Old Leonard Ave Columbus OH 43219-2597 | |
| (614) 327-0535 | |
| Not Available |
| Full Name | The Gap Initiative |
|---|---|
| Speciality | Marriage & Family Therapist |
| Location | 1611 Old Leonard Ave, Columbus, Ohio |
| Authorized Official Name and Position | Laura I Davis (SOCIAL WORKER) |
| Authorized Official Contact | 6145863830 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| The Gap Initiative 6596 Quail Creek Dr Canal Winchester OH 43110-9394 Ph: (614) 327-0535 | The Gap Initiative 1611 Old Leonard Ave Columbus OH 43219-2597 Ph: (614) 327-0535 |
| NPI Number | 1558889782 |
|---|---|
| Provider Enumeration Date | 09/08/2017 |
| Last Update Date | 09/08/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1558889782 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 106H00000X | Marriage & Family Therapist | 1700380 (Ohio) | Primary |
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