Provider Demographics
NPI:1649578543
Name:LIFE CARE & COUNSELING
Entity Type:Organization
Organization Name:LIFE CARE & COUNSELING
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT/CLINICAL SOCIAL WORKER
Authorized Official - Prefix:
Authorized Official - First Name:CYNTHIA
Authorized Official - Middle Name:
Authorized Official - Last Name:PARISH-GILLESPIE
Authorized Official - Suffix:
Authorized Official - Credentials:MSW,LISW,MA,CRC,CLCP
Authorized Official - Phone:513-244-2700
Mailing Address - Street 1:4997 GLENWAY AVE
Mailing Address - Street 2:
Mailing Address - City:CINCINNATI
Mailing Address - State:OH
Mailing Address - Zip Code:45238-3907
Mailing Address - Country:US
Mailing Address - Phone:513-244-2700
Mailing Address - Fax:513-244-6555
Practice Address - Street 1:4997 GLENWAY AVE
Practice Address - Street 2:
Practice Address - City:CINCINNATI
Practice Address - State:OH
Practice Address - Zip Code:45238-3907
Practice Address - Country:US
Practice Address - Phone:513-244-2700
Practice Address - Fax:513-244-6555
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-03-02
Last Update Date:2011-03-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHI0002211041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Single Specialty