Healthcare Provider Details

I. General information

NPI: 1871077131
Provider Name (Legal Business Name): MARSHALL LOUIS MYERS LPCC-S
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/21/2018
Last Update Date: 07/22/2026
Certification Date: 07/22/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3400 KENNY RD
COLUMBUS OH
43221-1500
US

IV. Provider business mailing address

3400 KENNY RD
COLUMBUS OH
43221-1500
US

V. Phone/Fax

Practice location:
  • Phone: 614-900-3055
  • Fax: 380-800-3177
Mailing address:
  • Phone: 614-900-3055
  • Fax: 380-800-3177

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License NumberE.2303428
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: