Healthcare Provider Details

I. General information

NPI: 1508730474
Provider Name (Legal Business Name): ASHLEY OHLIN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/02/2025
Last Update Date: 10/02/2025
Certification Date: 10/02/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6253 RIVERSIDE DR STE 100
DUBLIN OH
43017-5034
US

IV. Provider business mailing address

4053 ALUATON ST
COLUMBUS OH
43207-4763
US

V. Phone/Fax

Practice location:
  • Phone: 614-504-4484
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License NumberC.2406264
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: