MEDICARE: CHROMA COUNSELING, LLC

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	1041C0700X	Clinical Social Worker

General Provider Information

NPI Number	:	1841944212
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	CHROMA COUNSELING, LLC

Provider Business Mailing Address
First Line	:	604 ACTON RD APT C
Second Line	:
City	:	COLUMBUS
State	:	OH
Zip	:	43214-3340
Country	:	US
Telephone Number	:	614-623-6599
Fax Number	:

Provider Business Practice Location Address
First Line	:	604 ACTON RD APT C
Second Line	:
City	:	COLUMBUS
State	:	OH
Zip	:	43214-3340
Country	:	US
Telephone Number	:	614-623-6599
Fax Number	:

Authorized Official
Title or Position	:	CREDENTIALING
Name	:	SADAQAH BARR
Credential	:
Telephone Number	:	609-338-2244

Provider Enumeration Date	:	02/04/2022
Last Update Date	:	02/04/2022

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Directions to “CHROMA COUNSELING, LLC ” Practice Location

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