Healthcare Provider Details

I. General information

NPI: 1649259466
Provider Name (Legal Business Name): CLERMONT COUNSELING CENTER
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/11/2006
Last Update Date: 08/11/2017
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

43 E MAIN ST
AMELIA OH
45102-1993
US

IV. Provider business mailing address

43 E MAIN ST
AMELIA OH
45102-1993
US

V. Phone/Fax

Practice location:
  • Phone: 513-947-7000
  • Fax: 513-947-7222
Mailing address:
  • Phone: 513-947-7000
  • Fax: 513-947-7222

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code101Y00000X
TaxonomyCounselor
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code103T00000X
TaxonomyPsychologist
License Number
License Number State

VIII. Authorized Official

Name: JAMES J O'NEIL
Title or Position: CEO
Credential:
Phone: 513-354-5200