Healthcare Provider Details

I. General information

NPI: 1225877806
Provider Name (Legal Business Name): DEBORAH GAUCH DELEON COUNSELING, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/22/2024
Last Update Date: 05/22/2024
Certification Date: 05/22/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1115 BETHEL RD
COLUMBUS OH
43220-2690
US

IV. Provider business mailing address

1115 BETHEL RD
COLUMBUS OH
43220-2690
US

V. Phone/Fax

Practice location:
  • Phone: 614-309-4909
  • Fax: 614-670-5095
Mailing address:
  • Phone: 614-309-4909
  • Fax: 614-670-5095

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QM0850X
TaxonomyAdult Mental Health Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: DEBORAH SUE DELEON
Title or Position: OWNER
Credential: L.P.C.C.
Phone: 614-309-4909