Organization
LIFEGUIDES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MATTHEW PETER ORLOUSKY LPCC, LCDC-III (MEMBER-MANAGER)
(614) 342-0243
Entity
Organization
Contact information
Practice address
930 THAYER DR, COLUMBUS, OH 43230-6241
(614) 342-0243
Mailing address
930 THAYER DR, COLUMBUS, OH 43230-6241
(614) 342-0243
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
091032
OH
101YP2500X
Professional Counselor
Primary
E-0500159
OH
Other
Enumeration date
09/04/2009
Last updated
09/04/2009
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