MEDICARE: PARTNERS FOR PARENTS

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	251B00000X	Case Management Agency
2	251K00000X	Public Health or Welfare Agency
3	251S00000X	Community/Behavioral Health Agency	M.1700050TRNE	OH

General Provider Information

NPI Number	:	1043743842
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	PARTNERS FOR PARENTS

Provider Business Mailing Address
First Line	:	3319 KRISTIN CT
Second Line	:
City	:	COLUMBUS
State	:	OH
Zip	:	43231-3106
Country	:	US
Telephone Number	:	614-558-5171
Fax Number	:

Provider Business Practice Location Address
First Line	:	3319 KRISTIN CT
Second Line	:
City	:	COLUMBUS
State	:	OH
Zip	:	43231-3106
Country	:	US
Telephone Number	:	614-558-5171
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	SHARON LEE
Credential	:	B.S., MFT-T
Telephone Number	:	614-558-5171

Provider Enumeration Date	:	04/07/2017
Last Update Date	:	04/07/2017

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Directions to “PARTNERS FOR PARENTS ” Practice Location

Language	Start Address	Practice Location

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