Provider Demographics
NPI:1013215748
Name:PAIGE ONE, LLC
Entity Type:Organization
Organization Name:PAIGE ONE, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MS
Authorized Official - First Name:MELNEA
Authorized Official - Middle Name:
Authorized Official - Last Name:PAIGE
Authorized Official - Suffix:
Authorized Official - Credentials:BA,MED,MSW,LISW-S
Authorized Official - Phone:513-993-5919
Mailing Address - Street 1:7672 MONTGOMERY RD # 125
Mailing Address - Street 2:
Mailing Address - City:CINCINNATI
Mailing Address - State:OH
Mailing Address - Zip Code:45236-4204
Mailing Address - Country:US
Mailing Address - Phone:513-993-5919
Mailing Address - Fax:513-993-5915
Practice Address - Street 1:2200 VICTORY PKWY STE 602
Practice Address - Street 2:
Practice Address - City:CINCINNATI
Practice Address - State:OH
Practice Address - Zip Code:45206-2837
Practice Address - Country:US
Practice Address - Phone:513-993-5919
Practice Address - Fax:513-672-2082
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-03-03
Last Update Date:2020-03-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Single Specialty