Provider Demographics
NPI:1164977153
Name:SMITH, ROSALIND R (LPCC-S)
Entity Type:Individual
Prefix:
First Name:ROSALIND
Middle Name:R
Last Name:SMITH
Suffix:
Gender:F
Credentials:LPCC-S
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8015 BLAIRHOUSE DR
Mailing Address - Street 2:
Mailing Address - City:CINCINNATI
Mailing Address - State:OH
Mailing Address - Zip Code:45244-2815
Mailing Address - Country:US
Mailing Address - Phone:513-370-7460
Mailing Address - Fax:
Practice Address - Street 1:431 OHIO PIKE STE 156
Practice Address - Street 2:
Practice Address - City:CINCINNATI
Practice Address - State:OH
Practice Address - Zip Code:45255-3716
Practice Address - Country:US
Practice Address - Phone:513-370-7460
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2016-08-18
Last Update Date:2023-03-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHE.1901393101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional