Healthcare Provider Details

I. General information

NPI: 1225915259
Provider Name (Legal Business Name): BRETT FITZER LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/20/2025
Last Update Date: 08/20/2025
Certification Date: 08/20/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

171 CHARRING CROSS DR S
WESTERVILLE OH
43081-2862
US

IV. Provider business mailing address

1344 HAVANT DR
NEW ALBANY OH
43054-9234
US

V. Phone/Fax

Practice location:
  • Phone: 614-890-8262
  • Fax: 614-776-5333
Mailing address:
  • Phone: 614-395-8331
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number
License Number State

VIII. Authorized Official

Name: BRETT FITZER
Title or Position: OWNER
Credential: LPCC
Phone: 614-395-8331