Provider Demographics
NPI:1669951240
Name:CINCINNATI RENEWED WELLNESS
Entity type:Organization
Organization Name:CINCINNATI RENEWED WELLNESS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER, THERAPIST
Authorized Official - Prefix:
Authorized Official - First Name:ALLISON
Authorized Official - Middle Name:
Authorized Official - Last Name:MCLAUGHLIN
Authorized Official - Suffix:
Authorized Official - Credentials:LPCC-S, LICDC
Authorized Official - Phone:513-818-3208
Mailing Address - Street 1:4760 RED BANK RD STE 241
Mailing Address - Street 2:
Mailing Address - City:CINCINNATI
Mailing Address - State:OH
Mailing Address - Zip Code:45227-1548
Mailing Address - Country:US
Mailing Address - Phone:513-818-3208
Mailing Address - Fax:
Practice Address - Street 1:4760 RED BANK RD STE 241
Practice Address - Street 2:
Practice Address - City:CINCINNATI
Practice Address - State:OH
Practice Address - Zip Code:45227-1548
Practice Address - Country:US
Practice Address - Phone:513-818-3208
Practice Address - Fax:513-672-1155
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-08-14
Last Update Date:2024-05-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHE.1700428101YM0800X
OHAPRN.CNP.16880261QP2300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes261QP2300XAmbulatory Health Care FacilitiesClinic/CenterPrimary Care
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Multi-Specialty