Provider Demographics
NPI:1184036782
Name:HACKETT COUNSELING & CONSULTING LLC
Entity Type:Organization
Organization Name:HACKETT COUNSELING & CONSULTING LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MS
Authorized Official - First Name:DEBRA
Authorized Official - Middle Name:
Authorized Official - Last Name:HACKETT
Authorized Official - Suffix:
Authorized Official - Credentials:LISW
Authorized Official - Phone:513-403-0648
Mailing Address - Street 1:3805 EDWARDS RD
Mailing Address - Street 2:
Mailing Address - City:CINCINNATI
Mailing Address - State:OH
Mailing Address - Zip Code:45209-1900
Mailing Address - Country:US
Mailing Address - Phone:513-403-0648
Mailing Address - Fax:
Practice Address - Street 1:10901 REED HARTMAN HWY
Practice Address - Street 2:SUITE 108
Practice Address - City:BLUE ASH
Practice Address - State:OH
Practice Address - Zip Code:45242-2831
Practice Address - Country:US
Practice Address - Phone:513-403-0648
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-05-30
Last Update Date:2014-05-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH923349101YA0400X
OHI72051041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Single Specialty
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)Group - Single Specialty