Healthcare Provider Details

I. General information

NPI: 1538802541
Provider Name (Legal Business Name): RYAN PATRICK FLEMING LPCC
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/18/2022
Last Update Date: 04/07/2025
Certification Date: 04/07/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

10200 ALLIANCE RD STE 150
BLUE ASH OH
45242-4754
US

IV. Provider business mailing address

3580 HARGRAVE CT
HEBRON KY
41048-6900
US

V. Phone/Fax

Practice location:
  • Phone: 513-891-0650
  • Fax:
Mailing address:
  • Phone: 859-317-5985
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License NumberLPC.0018256
License Number StateCO
# 2
Primary TaxonomyN
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number276747
License Number StateKY
# 3
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License NumberE.2505122
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: