Healthcare Provider Details

I. General information

NPI: 1982527818
Provider Name (Legal Business Name): ELIZABETH FACTOR
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/30/2026
Last Update Date: 07/30/2026
Certification Date: 07/30/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4937 W BROAD ST
COLUMBUS OH
43228-1646
US

IV. Provider business mailing address

3414 WATERPOINT DR
COLUMBUS OH
43221-4947
US

V. Phone/Fax

Practice location:
  • Phone: 614-259-7656
  • Fax:
Mailing address:
  • Phone: 614-302-3181
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101Y00000X
TaxonomyCounselor
License Number1730452640
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: