Provider Demographics
NPI:1003215773
Name:SPEARS, BRIAN (MA, LPCC-S)
Entity Type:Individual
Prefix:MR
First Name:BRIAN
Middle Name:
Last Name:SPEARS
Suffix:
Gender:M
Credentials:MA, LPCC-S
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7265 KENWOOD RD STE 321
Mailing Address - Street 2:
Mailing Address - City:CINCINNATI
Mailing Address - State:OH
Mailing Address - Zip Code:45236-4416
Mailing Address - Country:US
Mailing Address - Phone:513-657-8718
Mailing Address - Fax:
Practice Address - Street 1:7265 KENWOOD RD STE 321
Practice Address - Street 2:
Practice Address - City:CINCINNATI
Practice Address - State:OH
Practice Address - Zip Code:45236-4416
Practice Address - Country:US
Practice Address - Phone:513-657-8718
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2014-08-19
Last Update Date:2021-01-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHE0800347101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
Provider Identifiers
StateIdentifier IDID TypeIssuer
OHE0800347OtherLICENSE