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
—
—
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
101YP1600X
Pastoral Counselor
—
—
101YP2500X
Professional Counselor
—
—
101YS0200X
School Counselor
—
—
102L00000X
Psychoanalyst
—
—
103T00000X
Psychologist
—
—
104100000X
Social Worker
—
—
106S00000X
Behavior Technician
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
—
—
261QM0850X
Adult Mental Health Clinic/Center
—
—
261QM0855X
Adolescent and Children Mental Health Clinic/Center
—
—
261QM1300X
Multi-Specialty Clinic/Center
Primary
—
—
282J00000X
Religious Nonmedical Health Care Institution
—
—
374K00000X
Religious Nonmedical Practitioner
—
—
Other
Enumeration date
09/03/2021
Last updated
05/09/2026
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