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Organization
ELLICE PARK LLC DBA COUNSELING CARE CIRCLE
Active
Organization
ELLICE PARK LLC DBA COUNSELING CARE CIRCLE
Active
Other names
Ellice Park LLC
Organization subpart
No
Provider details
NPI number
Authorized official
VIRTUAL MUSTARD SEED (AGENT)
(614) 568-3233
Entity
Organization
Contact information
Practice address
180 E BROAD ST, COLUMBUS, OH 43215-3707
(614) 568-3233
Mailing address
PO BOX 2465, HARRISBURG, PA 17105-2465
(614) 568-3233
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
NULL
101Y00000X
Counselor
—
—
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
NULL
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
101YP1600X
Pastoral Counselor
—
NULL
101YP1600X
Pastoral Counselor
—
—
101YP2500X
Professional Counselor
—
NULL
101YP2500X
Professional Counselor
—
—
101YS0200X
School Counselor
—
NULL
101YS0200X
School Counselor
—
—
102L00000X
Psychoanalyst
—
NULL
102L00000X
Psychoanalyst
—
—
103T00000X
Psychologist
—
NULL
103T00000X
Psychologist
—
—
104100000X
Social Worker
—
NULL
104100000X
Social Worker
—
—
106S00000X
Behavior Technician
—
NULL
106S00000X
Behavior Technician
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
—
NULL
261QM0850X
Adult Mental Health Clinic/Center
—
NULL
261QM0855X
Adolescent and Children Mental Health Clinic/Center
—
NULL
261QM1300X
Multi-Specialty Clinic/Center
Primary
—
NULL
282J00000X
Religious Nonmedical Health Care Institution
—
NULL
374K00000X
Religious Nonmedical Practitioner
—
NULL
374K00000X
Religious Nonmedical Practitioner
—
—
Other
Enumeration date
09/03/2021
Last updated
05/09/2026
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