Provider Demographics
NPI:1871259820
Name:NEILSEN, STEVEN THOMAS
Entity type:Individual
Prefix:MR
First Name:STEVEN
Middle Name:THOMAS
Last Name:NEILSEN
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1401 E 20TH AVE
Mailing Address - Street 2:
Mailing Address - City:COLUMBUS
Mailing Address - State:OH
Mailing Address - Zip Code:43211-2509
Mailing Address - Country:US
Mailing Address - Phone:407-844-0331
Mailing Address - Fax:
Practice Address - Street 1:1401 E 20TH AVE
Practice Address - Street 2:
Practice Address - City:COLUMBUS
Practice Address - State:OH
Practice Address - Zip Code:43211-2509
Practice Address - Country:US
Practice Address - Phone:407-844-0331
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-11-15
Last Update Date:2021-11-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor