MEDICARE: REINVENTING YOURSELF COACHING

Medicare Provider Information

Scope of Practice

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

#	Taxonomy Code	Taxonomy
1	251K00000X	Public Health or Welfare Agency
2	251S00000X	Community/Behavioral Health Agency
3	251B00000X	Case Management Agency

General Provider Information

NPI Number	:	1780364893
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	REINVENTING YOURSELF COACHING

Provider Business Mailing Address
First Line	:	3315 LAKEVIEW ST
Second Line	:
City	:	CINCINNATI
State	:	OH
Zip	:	45211-6415
Country	:	US
Telephone Number	:	513-678-2967
Fax Number	:

Provider Business Practice Location Address
First Line	:	3315 LAKEVIEW ST
Second Line	:
City	:	CINCINNATI
State	:	OH
Zip	:	45211-6415
Country	:	US
Telephone Number	:	513-678-2967
Fax Number	:

Authorized Official
Title or Position	:	FOUNDER/CEO
Name	:	MS. CHANTA WALKER
Credential	:	RN
Telephone Number	:	513-678-2967

Provider Enumeration Date	:	07/24/2023
Last Update Date	:	07/24/2023

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Directions to “REINVENTING YOURSELF COACHING ” Practice Location

Language	Start Address	Practice Location

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