Healthcare Provider Details

I. General information

NPI: 1013653245
Provider Name (Legal Business Name): MIGHTY ACORN COUNSELING LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/10/2022
Last Update Date: 05/10/2022
Certification Date: 04/26/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3433 AGLER RD STE 2100
COLUMBUS OH
43219-3389
US

IV. Provider business mailing address

3433 AGLER RD STE 2100
COLUMBUS OH
43219-3389
US

V. Phone/Fax

Practice location:
  • Phone: 614-599-6869
  • Fax: 614-413-3464
Mailing address:
  • Phone: 614-599-6869
  • Fax: 614-413-3464

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QR0405X
TaxonomySubstance Use Disorder Rehabilitation Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: ROBERT J OAKS
Title or Position: OWNER
Credential:
Phone: 614-599-6869