Provider Demographics
NPI:1407041874
Name:JONELL GERIG LLC
Entity Type:Organization
Organization Name:JONELL GERIG LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MS
Authorized Official - First Name:JONELL
Authorized Official - Middle Name:
Authorized Official - Last Name:GERIG
Authorized Official - Suffix:
Authorized Official - Credentials:LISW
Authorized Official - Phone:513-233-0020
Mailing Address - Street 1:1060 NIMITZVIEW DRIVE
Mailing Address - Street 2:SUITE 215
Mailing Address - City:CINCINNATI
Mailing Address - State:OH
Mailing Address - Zip Code:45230-4351
Mailing Address - Country:US
Mailing Address - Phone:513-233-0020
Mailing Address - Fax:513-233-0499
Practice Address - Street 1:1060 NIMITZVIEW DRIVE
Practice Address - Street 2:SUITE 215
Practice Address - City:CINCINNATI
Practice Address - State:OH
Practice Address - Zip Code:45230-4351
Practice Address - Country:US
Practice Address - Phone:513-233-0020
Practice Address - Fax:513-233-0499
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-09-10
Last Update Date:2007-09-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Single Specialty