Healthcare Provider Details

I. General information

NPI: 1497194500
Provider Name (Legal Business Name): TONI ARDEL KING M.A., LPCC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/21/2013
Last Update Date: 10/13/2016
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

90 NORTHWOODS BLVD KING'S HOPE COUNSELING CENTER, SUITE B1-8
COLUMBUS OH
43235-4719
US

IV. Provider business mailing address

90 NORTHWOODS BLVD KING'S HOPE COUNSELING CENTER, SUITE B1-8
COLUMBUS OH
43235-4719
US

V. Phone/Fax

Practice location:
  • Phone: 614-633-8046
  • Fax:
Mailing address:
  • Phone: 614-633-8046
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License NumberE1500260
License Number StateOH
# 2
Primary TaxonomyN
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License NumberC0900582
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: