Provider Demographics
NPI:1003654880
Name:OSOWSKI, KIRA (LPCC)
Entity type:Individual
Prefix:
First Name:KIRA
Middle Name:
Last Name:OSOWSKI
Suffix:
Gender:F
Credentials:LPCC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8479 S MASON MONTGOMERY RD STE 4
Mailing Address - Street 2:
Mailing Address - City:MASON
Mailing Address - State:OH
Mailing Address - Zip Code:45040-4005
Mailing Address - Country:US
Mailing Address - Phone:513-445-9696
Mailing Address - Fax:513-725-1141
Practice Address - Street 1:8479 S MASON MONTGOMERY RD STE 4
Practice Address - Street 2:
Practice Address - City:MASON
Practice Address - State:OH
Practice Address - Zip Code:45040-4005
Practice Address - Country:US
Practice Address - Phone:513-445-9696
Practice Address - Fax:513-725-1141
Is Sole Proprietor?:Yes
Enumeration Date:2024-07-17
Last Update Date:2024-07-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHE.2404213101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Multi-Specialty