Provider Demographics
NPI:1578073383
Name:CAREY, MIESHA MARIE (MA, LPC)
Entity Type:Individual
Prefix:MRS
First Name:MIESHA
Middle Name:MARIE
Last Name:CAREY
Suffix:
Gender:F
Credentials:MA, LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3831 GATEWOOD LN
Mailing Address - Street 2:
Mailing Address - City:SILVERTON
Mailing Address - State:OH
Mailing Address - Zip Code:45236-3311
Mailing Address - Country:US
Mailing Address - Phone:513-399-7750
Mailing Address - Fax:
Practice Address - Street 1:8624 WINTON RD STE B
Practice Address - Street 2:
Practice Address - City:CINCINNATI
Practice Address - State:OH
Practice Address - Zip Code:45231-4837
Practice Address - Country:US
Practice Address - Phone:513-399-7750
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-10-06
Last Update Date:2021-05-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHC.1902094101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health