Provider Demographics
NPI:1629627765
Name:COUNSELING CENTER OF CINCINNATI, LLC
Entity Type:Organization
Organization Name:COUNSELING CENTER OF CINCINNATI, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR/OWNER
Authorized Official - Prefix:
Authorized Official - First Name:AMY
Authorized Official - Middle Name:SIMPSON
Authorized Official - Last Name:HOYLE
Authorized Official - Suffix:
Authorized Official - Credentials:MSW, LISW
Authorized Official - Phone:513-319-9031
Mailing Address - Street 1:428 CREEKBOROUGH CT
Mailing Address - Street 2:
Mailing Address - City:SOUTH LEBANON
Mailing Address - State:OH
Mailing Address - Zip Code:45065-8778
Mailing Address - Country:US
Mailing Address - Phone:513-319-9031
Mailing Address - Fax:
Practice Address - Street 1:38 TRIANGLE PARK DR # 11
Practice Address - Street 2:
Practice Address - City:CINCINNATI
Practice Address - State:OH
Practice Address - Zip Code:45246-3421
Practice Address - Country:US
Practice Address - Phone:513-319-9031
Practice Address - Fax:513-472-2088
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-09-11
Last Update Date:2019-09-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Single Specialty