Provider Demographics
NPI:1639470495
Name:SECOND COMMUNITY HEALTH FAMILY COUNSELING EDUCATION CENTER
Entity Type:Organization
Organization Name:SECOND COMMUNITY HEALTH FAMILY COUNSELING EDUCATION CENTER
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:LICENSED INDEPENDENT SOCIAL WORKER
Authorized Official - Prefix:MS
Authorized Official - First Name:BARBARA
Authorized Official - Middle Name:A
Authorized Official - Last Name:HANLEY
Authorized Official - Suffix:
Authorized Official - Credentials:LISW
Authorized Official - Phone:513-481-2432
Mailing Address - Street 1:3284 N BEND RD
Mailing Address - Street 2:SUITE 312 B
Mailing Address - City:CINCINNATI
Mailing Address - State:OH
Mailing Address - Zip Code:45239-7688
Mailing Address - Country:US
Mailing Address - Phone:513-481-2432
Mailing Address - Fax:513-662-2432
Practice Address - Street 1:3284 N BEND RD
Practice Address - Street 2:SUITE 312 B
Practice Address - City:CINCINNATI
Practice Address - State:OH
Practice Address - Zip Code:45239-7688
Practice Address - Country:US
Practice Address - Phone:513-481-2432
Practice Address - Fax:513-662-2432
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-11-10
Last Update Date:2010-11-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHI 0003334251S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health