Provider Demographics
NPI:1841421351
Name:THE COUNSELING AND COOPERATIVE PARENTING CENTER OF OHIO, LLC
Entity Type:Organization
Organization Name:THE COUNSELING AND COOPERATIVE PARENTING CENTER OF OHIO, LLC
Other - Org Name:CCPC-OHIO, LLC
Other - Org Type:Other Name
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:BRENDA
Authorized Official - Middle Name:SUE
Authorized Official - Last Name:PATTON
Authorized Official - Suffix:
Authorized Official - Credentials:LISW-S
Authorized Official - Phone:513-858-2000
Mailing Address - Street 1:1130 CONGRESS AVE
Mailing Address - Street 2:SUITE B
Mailing Address - City:CINCINNATI
Mailing Address - State:OH
Mailing Address - Zip Code:45246-4484
Mailing Address - Country:US
Mailing Address - Phone:513-858-2000
Mailing Address - Fax:513-858-2888
Practice Address - Street 1:1130 CONGRESS AVE
Practice Address - Street 2:SUITE B
Practice Address - City:CINCINNATI
Practice Address - State:OH
Practice Address - Zip Code:45246-4484
Practice Address - Country:US
Practice Address - Phone:513-858-2000
Practice Address - Fax:513-858-2888
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-07-31
Last Update Date:2009-07-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHI00088451041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Single Specialty