Healthcare Provider Details

I. General information

NPI: 1972413144
Provider Name (Legal Business Name): NEUROBLOOM COUNSELING COLUMBUS LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/10/2026
Last Update Date: 09/10/2026
Certification Date: 09/10/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

555 METRO PL N STE 150
DUBLIN OH
43017-5337
US

IV. Provider business mailing address

1315 CROSSBROOK BLVD
GALLOWAY OH
43119-8936
US

V. Phone/Fax

Practice location:
  • Phone: 614-349-5801
  • Fax:
Mailing address:
  • Phone:
  • Fax:

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: ALLISON G HAYES
Title or Position: OWNER
Credential: MS, LPCC
Phone: 740-418-0903