Healthcare Provider Details

I. General information

NPI: 1417621764
Provider Name (Legal Business Name): AUTUMN MARIE SLOVER M.A. E.D., LPCC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/02/2021
Last Update Date: 03/11/2026
Certification Date: 03/11/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

10999 REED HARTMAN HWY STE 207
BLUE ASH OH
45242-8301
US

IV. Provider business mailing address

426 HARPER AVE APT 1
LOVELAND OH
45140-2307
US

V. Phone/Fax

Practice location:
  • Phone: 513-999-5506
  • Fax:
Mailing address:
  • Phone: 937-571-1225
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License NumberE.2606360
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: