Provider Demographics
NPI:1457741241
Name:ZEMBRODT, ISABELLA MARINA (LMHC, LPCC)
Entity Type:Individual
Prefix:MS
First Name:ISABELLA
Middle Name:MARINA
Last Name:ZEMBRODT
Suffix:
Gender:F
Credentials:LMHC, LPCC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3505 MEADOWLARK DR.
Mailing Address - Street 2:
Mailing Address - City:EDGEWOOD
Mailing Address - State:KY
Mailing Address - Zip Code:41018-2659
Mailing Address - Country:US
Mailing Address - Phone:859-750-2909
Mailing Address - Fax:513-367-2489
Practice Address - Street 1:1150 HARRISON AVE
Practice Address - Street 2:SUITE 205 A
Practice Address - City:HARRISON
Practice Address - State:OH
Practice Address - Zip Code:45030-2503
Practice Address - Country:US
Practice Address - Phone:513-367-5823
Practice Address - Fax:513-367-2489
Is Sole Proprietor?:Yes
Enumeration Date:2015-01-31
Last Update Date:2015-10-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN39002665A101YM0800X
OHE.1500261101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health