Healthcare Provider Details

I. General information

NPI: 1467060467
Provider Name (Legal Business Name): ROY MCCLELLAND JR. LPCC
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/16/2020
Last Update Date: 10/01/2025
Certification Date: 10/01/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3645 RIDGE MILL DR
HILLIARD OH
43026-7752
US

IV. Provider business mailing address

5569 PALM SPRINGS DR APT C
COLUMBUS OH
43213-6692
US

V. Phone/Fax

Practice location:
  • Phone: 614-457-7876
  • Fax:
Mailing address:
  • Phone: 614-301-5708
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code101Y00000X
TaxonomyCounselor
License NumberC.2002448-TRNE
License Number StateOH
# 2
Primary TaxonomyY
Taxonomy Code101Y00000X
TaxonomyCounselor
License NumberE.2505735
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: