Provider Demographics
NPI:1902509888
Name:MICHAEL RODEN COUNSELING SERCICES
Entity Type:Organization
Organization Name:MICHAEL RODEN COUNSELING SERCICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:COUNSELOR/ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:MICHAEL
Authorized Official - Middle Name:
Authorized Official - Last Name:RODEN
Authorized Official - Suffix:
Authorized Official - Credentials:PCC
Authorized Official - Phone:614-828-8453
Mailing Address - Street 1:31 CROSS ST
Mailing Address - Street 2:
Mailing Address - City:PICKERINGTON
Mailing Address - State:OH
Mailing Address - Zip Code:43147-1260
Mailing Address - Country:US
Mailing Address - Phone:614-828-8453
Mailing Address - Fax:
Practice Address - Street 1:31 CROSS ST
Practice Address - Street 2:
Practice Address - City:PICKERINGTON
Practice Address - State:OH
Practice Address - Zip Code:43147-1260
Practice Address - Country:US
Practice Address - Phone:614-828-8453
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-03-22
Last Update Date:2023-03-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Single Specialty