Provider Demographics
| NPI: | 1174944615 |
|---|---|
| Name: | COUNSELING ALLIANCE, PLLC |
| Entity type: | Organization |
| Organization Name: | COUNSELING ALLIANCE, PLLC |
| Other - Org Name: | |
| Other - Org Type: | |
| Authorized Official - Title/Position: | OWNER |
| Authorized Official - Prefix: | MR |
| Authorized Official - First Name: | TIM |
| Authorized Official - Middle Name: | |
| Authorized Official - Last Name: | BARBER |
| Authorized Official - Suffix: | |
| Authorized Official - Credentials: | LPCC-S,CSAT-S,NCC |
| Authorized Official - Phone: | 513-376-9757 |
| Mailing Address - Street 1: | 1251 KEMPER MEADOW DR |
| Mailing Address - Street 2: | SUITE 100 |
| Mailing Address - City: | CINCINNATI |
| Mailing Address - State: | OH |
| Mailing Address - Zip Code: | 45240-4121 |
| Mailing Address - Country: | US |
| Mailing Address - Phone: | 513-376-9757 |
| Mailing Address - Fax: | 513-376-8347 |
| Practice Address - Street 1: | 1251 KEMPER MEADOW DR |
| Practice Address - Street 2: | SUITE 100 |
| Practice Address - City: | CINCINNATI |
| Practice Address - State: | OH |
| Practice Address - Zip Code: | 45240-4121 |
| Practice Address - Country: | US |
| Practice Address - Phone: | 513-376-9757 |
| Practice Address - Fax: | 513-376-8347 |
| EIN: | <UNAVAIL> |
| Is Organization Subpart?: | No |
| Parent Organization LBN: | |
| Parent Organization TIN: | |
| Enumeration Date: | 2013-12-31 |
| Last Update Date: | 2016-01-27 |
| Deactivation Date: | |
| Deactivation Code: | |
| Reactivation Date: |
Provider Taxonomies
| Primary? | Code | Type | Classification | Specialization | Group |
|---|---|---|---|---|---|
| Yes | 101YM0800X | Behavioral Health & Social Service Providers | Counselor | Mental Health | Group - Single Specialty |