Healthcare Provider Details

I. General information

NPI: 1457636169
Provider Name (Legal Business Name): ELLEN M PAPADEAS M.A. LPCC AND LMHC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/13/2011
Last Update Date: 06/26/2026
Certification Date: 06/26/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

484 COUNTY LINE RD W STE 130
WESTERVILLE OH
43082-7246
US

IV. Provider business mailing address

859 WILLARD ST
QUINCY MA
02169-7482
US

V. Phone/Fax

Practice location:
  • Phone: 216-468-5000
  • Fax:
Mailing address:
  • Phone: 617-847-1950
  • Fax: 617-774-1490

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License NumberE.1901366
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: