Provider Demographics
NPI:1457584583
Name:EISON, ORIENTA NICOLE (MA, LPCC)
Entity Type:Individual
Prefix:MS
First Name:ORIENTA
Middle Name:NICOLE
Last Name:EISON
Suffix:
Gender:F
Credentials:MA, LPCC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1882 ROOSEVELT AVE
Mailing Address - Street 2:
Mailing Address - City:CINCINNATI
Mailing Address - State:OH
Mailing Address - Zip Code:45240-3322
Mailing Address - Country:US
Mailing Address - Phone:513-788-1766
Mailing Address - Fax:
Practice Address - Street 1:1882 ROOSEVELT AVE
Practice Address - Street 2:
Practice Address - City:CINCINNATI
Practice Address - State:OH
Practice Address - Zip Code:45240-3322
Practice Address - Country:US
Practice Address - Phone:513-788-1766
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2009-08-24
Last Update Date:2024-05-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHE.0500129101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH11943425OtherCAQH