Basic Information
| Provider Information | |||||||||
| NPI: | 1902447675 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | SMARKEL | ||||||||
| FirstName: | ABIGAIL | ||||||||
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| Credential: | LPC, LSW | ||||||||
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| Mailing Information | |||||||||
| Address1: | 2557 SCIOTO VIEW LN | ||||||||
| Address2: | |||||||||
| City: | COLUMBUS | ||||||||
| State: | OH | ||||||||
| PostalCode: | 432213679 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 5674298169 | ||||||||
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| Practice Location | |||||||||
| Address1: | 5665 HOOVER RD | ||||||||
| Address2: | |||||||||
| City: | GROVE CITY | ||||||||
| State: | OH | ||||||||
| PostalCode: | 431239280 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 6148752371 | ||||||||
| FaxNumber: | |||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 10/03/2019 | ||||||||
| LastUpdateDate: | 08/31/2020 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | Y | ||||||||
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| NPICertificationDate: | 08/31/2020 | ||||||||
Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 101Y00000X | C.1901875-TRNE | OH | N | Behavioral Health & Social Service Providers | Counselor | 104100000X | S.1700728 | OH | N | Behavioral Health & Social Service Providers | Social Worker | 101YP2500X | C.2002849 | OH | Y | Behavioral Health & Social Service Providers | Counselor | Professional |
No ID Information.