Healthcare Provider Details

I. General information

NPI: 1710763727
Provider Name (Legal Business Name): NATHAN ANDREW GELINAS LPCC
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/05/2023
Last Update Date: 01/08/2024
Certification Date: 01/08/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

150 W MAIN ST FL 2
NEW ALBANY OH
43054-9229
US

IV. Provider business mailing address

700 ACKERMAN RD STE 2120
COLUMBUS OH
43202-1559
US

V. Phone/Fax

Practice location:
  • Phone: 614-293-9600
  • Fax: 614-293-1456
Mailing address:
  • Phone: 614-293-9600
  • Fax: 614-293-1456

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code101Y00000X
TaxonomyCounselor
License NumberE.2002024
License Number StateOH
# 2
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License NumberE.2002024
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: