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NPI Code Detail

MEDICARE: MICHAEL DOYLE LPCC, LICDC, LSW

MEDICARE: MICHAEL DOYLE LPCC, LICDC, LSW
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
1104100000XSocial WorkerS.0027140OH
2101YA0400XAddiction (Substance Use Disorder) Counselor975843OH
3101YP2500XProfessional CounselorE.1800698-SUPVOH

General Provider Information

NPI Number : 1902940208
Entity Type Code : Individual
Provider Name (Legal Business Name) : MICHAEL DOYLE LPCC, LICDC, LSW
Provider Business Mailing Address
First Line : 2600 VICTORY PKWY
Second Line :
City : CINCINNATI
State : OH
Zip : 45206-1395
Country : US
Telephone Number : 513-751-7747
Fax Number :
Provider Business Practice Location Address
First Line : 709 N HIGH ST
Second Line :
City : MOUNT ORAB
State : OH
Zip : 45154-6501
Country : US
Telephone Number : 513-751-7747
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/19/2007
Last Update Date : 04/16/2025

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