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NPI Code Detail

MEDICARE: EMERGING SPIRIT COUNSELING SERVICES, LLC

MEDICARE: EMERGING SPIRIT 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 CounselorE.0500129OH

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
11457584583OTHEROHNPI
211943425OTHEROHCAQH

General Provider Information

NPI Number : 1942580725
Entity Type Code : Organization
Provider Name (Legal Business Name) : EMERGING SPIRIT COUNSELING SERVICES, LLC
Provider Business Mailing Address
First Line : 1882 ROOSEVELT AVE
Second Line :
City : CINCINNATI
State : OH
Zip : 45240-3322
Country : US
Telephone Number : 513-788-1766
Fax Number :
Provider Business Practice Location Address
First Line : 1882 ROOSEVELT AVE
Second Line :
City : CINCINNATI
State : OH
Zip : 45240-3322
Country : US
Telephone Number : 513-788-1766
Fax Number :
Authorized Official
Title or Position : PROFESSIONAL COUNSELOR/OWNER
Name : ORIENTA N EISON
Credential : LPCC
Telephone Number : 513-788-1766
Provider Enumeration Date : 08/24/2011
Last Update Date : 07/09/2024

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