MEDICARE: PATRICK METTLE LPCC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	101YM0800X	Mental Health Counselor	E.1901024	OH

General Provider Information

NPI Number	:	1659817047
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	PATRICK METTLE LPCC

Provider Business Mailing Address
First Line	:	265 PINEY CREEK DR
Second Line	:
City	:	BLACKLICK
State	:	OH
Zip	:	43004-7071
Country	:	US
Telephone Number	:	614-625-7183
Fax Number	:	614-221-8912

Provider Business Practice Location Address
First Line	:	265 PINEY CREEK DR
Second Line	:
City	:	BLACKLICK
State	:	OH
Zip	:	43004-7071
Country	:	US
Telephone Number	:	614-286-7800
Fax Number	:	614-286-7800

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	01/10/2017
Last Update Date	:	06/10/2026

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