Provider Demographics
NPI:1235885088
Name:GREEN LEAF COUNSELING
Entity Type:Organization
Organization Name:GREEN LEAF COUNSELING
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:COUNSELOR
Authorized Official - Prefix:
Authorized Official - First Name:NATALIE
Authorized Official - Middle Name:L
Authorized Official - Last Name:POLICANI
Authorized Official - Suffix:
Authorized Official - Credentials:LPCC
Authorized Official - Phone:513-485-5090
Mailing Address - Street 1:1014 STRATFORD CT
Mailing Address - Street 2:
Mailing Address - City:LOVELAND
Mailing Address - State:OH
Mailing Address - Zip Code:45140-9310
Mailing Address - Country:US
Mailing Address - Phone:513-485-5090
Mailing Address - Fax:
Practice Address - Street 1:991 READING RD
Practice Address - Street 2:
Practice Address - City:MASON
Practice Address - State:OH
Practice Address - Zip Code:45040-1587
Practice Address - Country:US
Practice Address - Phone:513-342-3629
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-03-01
Last Update Date:2022-03-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health