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NPI Code Detail

MEDICARE: VERANDA PC LLC

MEDICARE: VERANDA PC 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
1101YM0800XMental Health Counselor

General Provider Information

NPI Number : 1922955194
Entity Type Code : Organization
Provider Name (Legal Business Name) : VERANDA PC LLC
Provider Business Mailing Address
First Line : 670 MERIDIAN WAY STE 228
Second Line :
City : WESTERVILLE
State : OH
Zip : 43082-2305
Country : US
Telephone Number : 614-316-8824
Fax Number : 614-383-8575
Provider Business Practice Location Address
First Line : 670 MERIDIAN WAY STE 228
Second Line :
City : WESTERVILLE
State : OH
Zip : 43082-2305
Country : US
Telephone Number : 614-316-8824
Fax Number : 614-383-8575
Authorized Official
Title or Position : LICENSED PROFESSIONAL CLINICAL COUN
Name : MRS. GAE LYNNE HILL
Credential : LPCC
Telephone Number : 614-316-8824
Provider Enumeration Date : 03/16/2026
Last Update Date : 03/16/2026

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Directions to “VERANDA PC LLC ” Practice Location

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