Provider Demographics
NPI:1023732336
Name:O'DRISCOLL, MOLLY E (LPC)
Entity type:Individual
Prefix:
First Name:MOLLY
Middle Name:E
Last Name:O'DRISCOLL
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:253 N STATE ST STE 200
Mailing Address - Street 2:
Mailing Address - City:WESTERVILLE
Mailing Address - State:OH
Mailing Address - Zip Code:43081-1484
Mailing Address - Country:US
Mailing Address - Phone:614-824-4285
Mailing Address - Fax:
Practice Address - Street 1:253 N STATE ST STE 200
Practice Address - Street 2:
Practice Address - City:WESTERVILLE
Practice Address - State:OH
Practice Address - Zip Code:43081-1484
Practice Address - Country:US
Practice Address - Phone:614-824-4285
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-09-29
Last Update Date:2023-09-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHC.1500807101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional