Healthcare Provider Details

I. General information

NPI: 1215449293
Provider Name (Legal Business Name): KATE ADKINS THERAPY LTD.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/30/2017
Last Update Date: 10/30/2017
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4041 N HIGH ST STE 300D
COLUMBUS OH
43214-3200
US

IV. Provider business mailing address

307 QUARTER WAY
DELAWARE OH
43015-8209
US

V. Phone/Fax

Practice location:
  • Phone: 614-702-7104
  • Fax: 614-702-7104
Mailing address:
  • Phone: 330-464-3420
  • Fax: 614-807-2102

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License NumberE.0600120-SUPV
License Number StateOH
# 2
Primary TaxonomyN
Taxonomy Code106H00000X
TaxonomyMarriage & Family Therapist
License NumberM.1100014-SUPV
License Number StateOH

VIII. Authorized Official

Name: DR. KATIE SUZANNE ADKINS
Title or Position: OWNER
Credential: PHD
Phone: 614-702-7104