Tracie Lynn Keller
Mental Health Counselor
1080 Fishinger Rd Suite 103
Columbus
, Ohio 43221-2302
Tracie Lynn Keller
Mental Health Counselor
1080 Fishinger Rd Suite 103
Columbus
, Ohio 43221-2302
(614) 372-5590
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About
Features
Specialties
- Mental Health Counselor
Languages spoken
- English
Location
First Address
- Tracie Lynn Keller
- 1080 Fishinger Rd Suite 103
- Columbus, OH
- Zip : 43221-2302
- Fax : (614) 372-5590
- Phone : (614) 822-7819
Second Address
- Tracie Lynn Keller
- 1080 Fishinger Rd Suite 103
- Columbus, OH
- Zip : 43221-2302
- Fax : (614) 372-5590
- Phone : (614) 822-7819
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 101YM0800X | Mental Health Counselor | E.0900503 | OH |
National Provider Identifier
| NPI | 1003160219 |
|---|---|
| Provider Name | Tracie Lynn Keller |
| First Address | Columbus, OH 43221-2302 |
| Second Address | Columbus, OH 43221-2302 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 09/11/2012 |
| Last Update Date | 12/03/2015 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.