Individual
ALYX GOLD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
211 S 5TH ST, COLUMBUS, OH 43215-5203
(614) 324-4088
Mailing address
211 S 5TH ST, COLUMBUS, OH 43215-5203
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
LCDCII.161953
OH
104100000X
Social Worker
Primary
S.2512732
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1629560230
—
OH
Enumeration date
09/30/2020
Last updated
10/08/2025
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