Healthcare Provider Details

I. General information

NPI: 1689580664
Provider Name (Legal Business Name): LORI BOKONE LPCC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/20/2026
Last Update Date: 08/20/2026
Certification Date: 08/20/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1515 INDIANOLA AVE
COLUMBUS OH
43201-2118
US

IV. Provider business mailing address

1515 INDIANOLA AVE
COLUMBUS OH
43201-2118
US

V. Phone/Fax

Practice location:
  • Phone: 614-294-2661
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License NumberE.2404867
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: