Healthcare Provider Details

I. General information

NPI: 1043743842
Provider Name (Legal Business Name): PARTNERS FOR PARENTS
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/07/2017
Last Update Date: 04/07/2017
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3319 KRISTIN CT
COLUMBUS OH
43231-3106
US

IV. Provider business mailing address

3319 KRISTIN CT
COLUMBUS OH
43231-3106
US

V. Phone/Fax

Practice location:
  • Phone: 614-558-5171
  • Fax:
Mailing address:
  • Phone: 614-558-5171
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code251B00000X
TaxonomyCase Management Agency
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code251K00000X
TaxonomyPublic Health or Welfare Agency
License Number
License Number State
# 3
Primary TaxonomyY
Taxonomy Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License NumberM.1700050TRNE
License Number StateOH

VIII. Authorized Official

Name: SHARON LEE
Title or Position: OWNER
Credential: B.S., MFT-T
Phone: 614-558-5171