Provider Demographics
NPI:1326821752
Name:COME AS YOU ARE WELLNESS, LLC
Entity Type:Organization
Organization Name:COME AS YOU ARE WELLNESS, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:LICENSED PROFESSIONAL COUNSELOR
Authorized Official - Prefix:
Authorized Official - First Name:EMILY
Authorized Official - Middle Name:
Authorized Official - Last Name:JOHNSON
Authorized Official - Suffix:
Authorized Official - Credentials:LPCA
Authorized Official - Phone:513-283-9395
Mailing Address - Street 1:530 SHELLEY DR
Mailing Address - Street 2:
Mailing Address - City:BATAVIA
Mailing Address - State:OH
Mailing Address - Zip Code:45103-1858
Mailing Address - Country:US
Mailing Address - Phone:513-283-9395
Mailing Address - Fax:
Practice Address - Street 1:880 ALEXANDRIA PIKE STE 207
Practice Address - Street 2:
Practice Address - City:FORT THOMAS
Practice Address - State:KY
Practice Address - Zip Code:41075-2100
Practice Address - Country:US
Practice Address - Phone:859-287-4240
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-08-17
Last Update Date:2023-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
1588286959OtherCOUNSELOR