MEDICARE: CHAOS TO CLARITY COUNSELING AND CONSULTATION LLC

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	101YM0800X	Mental Health Counselor

General Provider Information

NPI Number	:	1518817170
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	CHAOS TO CLARITY COUNSELING AND CONSULTATION LLC

Provider Business Mailing Address
First Line	:	3737 EASTON MARKET # 1230
Second Line	:
City	:	COLUMBUS
State	:	OH
Zip	:	43219-6023
Country	:	US
Telephone Number	:	614-600-2461
Fax Number	:

Provider Business Practice Location Address
First Line	:	2157 RIVERDALE SQ W
Second Line	:
City	:	COLUMBUS
State	:	OH
Zip	:	43232-4076
Country	:	US
Telephone Number	:	614-600-2461
Fax Number	:

Authorized Official
Title or Position	:	CLINICIAN
Name	:	CARMEN NANTWI
Credential	:	LISW
Telephone Number	:	614-600-2461

Provider Enumeration Date	:	02/02/2026
Last Update Date	:	02/02/2026

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