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NPI Code Detail

MEDICARE: MAKRINOS MENTAL HEALTH COUNSELING SERVICES LLC

MEDICARE: MAKRINOS MENTAL HEALTH COUNSELING SERVICES LLC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1101YP2500XProfessional Counselor

General Provider Information

NPI Number : 1639642275
Entity Type Code : Organization
Provider Name (Legal Business Name) : MAKRINOS MENTAL HEALTH COUNSELING SERVICES LLC
Provider Business Mailing Address
First Line : 61 SHEPHERD CT
Second Line :
City : LOVELAND
State : OH
Zip : 45140-3018
Country : US
Telephone Number : 513-708-8188
Fax Number : 513-677-6624
Provider Business Practice Location Address
First Line : 3268 JEFFERSON AVE
Second Line :
City : CINCINNATI
State : OH
Zip : 45220-2220
Country : US
Telephone Number : 513-708-8188
Fax Number : 513-677-6624
Authorized Official
Title or Position : OWNER
Name : STANLEY MAKRINOS
Credential : PCCS
Telephone Number : 513-708-8188
Provider Enumeration Date : 01/07/2019
Last Update Date : 01/07/2019

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