Provider Demographics
NPI:1184374266
Name:GNEUHS, REBECCA (LISW-S)
Entity type:Individual
Prefix:
First Name:REBECCA
Middle Name:
Last Name:GNEUHS
Suffix:
Gender:F
Credentials:LISW-S
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6020 TARN CIR
Mailing Address - Street 2:
Mailing Address - City:MASON
Mailing Address - State:OH
Mailing Address - Zip Code:45040-1791
Mailing Address - Country:US
Mailing Address - Phone:513-843-7990
Mailing Address - Fax:
Practice Address - Street 1:6020 TARN CIR
Practice Address - Street 2:
Practice Address - City:MASON
Practice Address - State:OH
Practice Address - Zip Code:45040-1791
Practice Address - Country:US
Practice Address - Phone:513-843-7990
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-03-24
Last Update Date:2023-09-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHI.20025361041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical