Provider Demographics
NPI:1003818527
Name:STENGER, BERNICE DOROTHY (LPCC)
Entity Type:Individual
Prefix:
First Name:BERNICE
Middle Name:DOROTHY
Last Name:STENGER
Suffix:
Gender:F
Credentials:LPCC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:662 RIDDLE RD
Mailing Address - Street 2:
Mailing Address - City:CINCINNATI
Mailing Address - State:OH
Mailing Address - Zip Code:45220-2606
Mailing Address - Country:US
Mailing Address - Phone:513-861-1247
Mailing Address - Fax:
Practice Address - Street 1:2330 VICTORY PKWY
Practice Address - Street 2:STE 500
Practice Address - City:CINCINNATI
Practice Address - State:OH
Practice Address - Zip Code:45206-2839
Practice Address - Country:US
Practice Address - Phone:513-221-2330
Practice Address - Fax:513-221-8954
Is Sole Proprietor?:No
Enumeration Date:2005-08-15
Last Update Date:2008-04-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHE-0001708101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
Provider Identifiers
StateIdentifier IDID TypeIssuer
000000019352OtherANTHEM BC/BS OF OHIO
361010OtherMANAGED HEALTH NETWORK