Provider Demographics
NPI:1043748924
Name:REIHELD, CINNAMON (LISW, LICDC)
Entity Type:Individual
Prefix:
First Name:CINNAMON
Middle Name:
Last Name:REIHELD
Suffix:
Gender:F
Credentials:LISW, LICDC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 29003
Mailing Address - Street 2:
Mailing Address - City:CINCINNATI
Mailing Address - State:OH
Mailing Address - Zip Code:45229-0003
Mailing Address - Country:US
Mailing Address - Phone:513-813-6415
Mailing Address - Fax:513-813-5499
Practice Address - Street 1:300 E BUSINESS WAY STE 200
Practice Address - Street 2:
Practice Address - City:CINCINNATI
Practice Address - State:OH
Practice Address - Zip Code:45241
Practice Address - Country:US
Practice Address - Phone:513-813-6415
Practice Address - Fax:513-813-5499
Is Sole Proprietor?:Yes
Enumeration Date:2017-05-23
Last Update Date:2018-07-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH1700385-SUPV1041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical