Provider Demographics
NPI:1942580725
Name:EMERGING SPIRIT COUNSELING SERVICES, LLC
Entity Type:Organization
Organization Name:EMERGING SPIRIT COUNSELING SERVICES, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PROFESSIONAL COUNSELOR/OWNER
Authorized Official - Prefix:
Authorized Official - First Name:ORIENTA
Authorized Official - Middle Name:N
Authorized Official - Last Name:EISON
Authorized Official - Suffix:
Authorized Official - Credentials:LPCC
Authorized Official - Phone:513-674-3570
Mailing Address - Street 1:11450 SEBRING DR
Mailing Address - Street 2:
Mailing Address - City:CINCINNATI
Mailing Address - State:OH
Mailing Address - Zip Code:45240-2791
Mailing Address - Country:US
Mailing Address - Phone:513-674-3570
Mailing Address - Fax:
Practice Address - Street 1:11450 SEBRING DR
Practice Address - Street 2:
Practice Address - City:CINCINNATI
Practice Address - State:OH
Practice Address - Zip Code:45240-2791
Practice Address - Country:US
Practice Address - Phone:513-674-3570
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-08-24
Last Update Date:2011-08-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHE.0500129101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessionalGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH11943425OtherCAQH
OH1457584583OtherNPI