Provider Demographics
NPI:1881441012
Name:REUSCHER, FAITH (LPCC)
Entity type:Individual
Prefix:
First Name:FAITH
Middle Name:
Last Name:REUSCHER
Suffix:
Gender:F
Credentials:LPCC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:250 GRANDVIEW DR STE 575
Mailing Address - Street 2:
Mailing Address - City:FORT MITCHELL
Mailing Address - State:KY
Mailing Address - Zip Code:41017-5641
Mailing Address - Country:US
Mailing Address - Phone:859-486-2810
Mailing Address - Fax:
Practice Address - Street 1:250 GRANDVIEW DR STE 575
Practice Address - Street 2:
Practice Address - City:FORT MITCHELL
Practice Address - State:KY
Practice Address - Zip Code:41017-5641
Practice Address - Country:US
Practice Address - Phone:317-292-7108
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-05-06
Last Update Date:2024-05-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY101YM0800X
KY290923101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health