Healthcare Provider Details

I. General information

NPI: 1710104310
Provider Name (Legal Business Name): ERIC MARTIN RINI LPCC
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/18/2007
Last Update Date: 07/09/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

437 HILL RD N
PICKERINGTON OH
43147-1157
US

IV. Provider business mailing address

11300 MEADOWCROFT STREET
PICKERINGTON OH
43147
US

V. Phone/Fax

Practice location:
  • Phone: 614-834-1919
  • Fax: 614-834-1920
Mailing address:
  • Phone: 614-834-5148
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License NumberE-0001725
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: