Healthcare Provider Details

I. General information

NPI: 1215177449
Provider Name (Legal Business Name): KIRRIN COUNSELING
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/27/2009
Last Update Date: 05/01/2010
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

700 MORSE RD SUITE #105
COLUMBUS OH
43214-1879
US

IV. Provider business mailing address

700 MORSE RD SUITE #105
COLUMBUS OH
43214-1879
US

V. Phone/Fax

Practice location:
  • Phone: 614-436-6250
  • Fax: 614-436-6290
Mailing address:
  • Phone: 614-436-6250
  • Fax: 614-436-6290

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QM0801X
TaxonomyMental Health Clinic/Center (Including Community Mental Health Center)
License Number
License Number State

VIII. Authorized Official

Name: MS. ANGELA LYNN BANKS-MASON
Title or Position: ADMINISTRATIVE DIRECTOR/THERAPIST
Credential: LISW-S
Phone: 614-436-6250