Provider Demographics
NPI:1639642275
Name:MAKRINOS MENTAL HEALTH COUNSELING SERVICES LLC
Entity Type:Organization
Organization Name:MAKRINOS MENTAL HEALTH COUNSELING SERVICES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:STANLEY
Authorized Official - Middle Name:
Authorized Official - Last Name:MAKRINOS
Authorized Official - Suffix:
Authorized Official - Credentials:PCCS
Authorized Official - Phone:513-708-8188
Mailing Address - Street 1:61 SHEPHERD CT
Mailing Address - Street 2:
Mailing Address - City:LOVELAND
Mailing Address - State:OH
Mailing Address - Zip Code:45140-3018
Mailing Address - Country:US
Mailing Address - Phone:513-708-8188
Mailing Address - Fax:513-677-6624
Practice Address - Street 1:3268 JEFFERSON AVE
Practice Address - Street 2:
Practice Address - City:CINCINNATI
Practice Address - State:OH
Practice Address - Zip Code:45220-2220
Practice Address - Country:US
Practice Address - Phone:513-708-8188
Practice Address - Fax:513-677-6624
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-01-07
Last Update Date:2019-01-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessionalGroup - Single Specialty