Provider Information for 1730628421
The following NPI(s) contain information matching your search criteria. Please select the NPI to view all the data associated with the NPI.
Please Note: Issuance of an NPI does not ensure or validate that the Health Care Provider is Licensed or Credentialed. For more information please refer to NPI: What You Need to Know
EVAN MATHENEY LPCC
Sex: Male
NPI: 1730628421
Last Updated: 2020-06-25
Certification Date: 2020-06-25
Certification Date: 2020-06-25
Details
| Name | Value | ||||||||
|---|---|---|---|---|---|---|---|---|---|
| NPI | 1730628421 | ||||||||
| Enumeration Date | 2017-02-15 | ||||||||
| NPI Type | NPI-1 Individual | ||||||||
| Sole Proprietor | NO | ||||||||
| Status | Active | ||||||||
| Mailing Address | 445 E INNIS AVE UNIT 72187 COLUMBUS, OH 43207-6809 United States Phone: 614-515-7858 | Fax: | ||||||||
| Primary Practice Address | 445 E INNIS AVE UNIT 72187 COLUMBUS, OH 43207-6809 United States Phone: 614-515-7858 | Fax: | ||||||||
| Secondary Practice Address(es) | |||||||||
| Health Information Exchange |
| ||||||||
| Other Identifiers |
| ||||||||
| Taxonomy |
|