Provider Demographics
NPI:1255113221
Name:GROENEMANN, RENEE ANNETTE (LPCC, LMHC)
Entity type:Individual
Prefix:
First Name:RENEE
Middle Name:ANNETTE
Last Name:GROENEMANN
Suffix:
Gender:F
Credentials:LPCC, LMHC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 1054
Mailing Address - Street 2:
Mailing Address - City:WEST CHESTER
Mailing Address - State:OH
Mailing Address - Zip Code:45071-1054
Mailing Address - Country:US
Mailing Address - Phone:513-289-6759
Mailing Address - Fax:
Practice Address - Street 1:9305 DUNDEE DR
Practice Address - Street 2:
Practice Address - City:WEST CHESTER
Practice Address - State:OH
Practice Address - Zip Code:45069-4020
Practice Address - Country:US
Practice Address - Phone:513-289-6759
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-10-16
Last Update Date:2023-10-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY270878101YM0800X
IN39004067A101YM0800X
OHE1901386101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health