Healthcare Provider Details

I. General information

NPI: 1508760174
Provider Name (Legal Business Name): HEARTPATH PSYCHOLOGY LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/06/2026
Last Update Date: 10/06/2026
Certification Date: 10/06/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4450 CARVER WOODS DR STE 1
BLUE ASH OH
45242-5528
US

IV. Provider business mailing address

4450 CARVER WOODS DR STE 1
BLUE ASH OH
45242-5528
US

V. Phone/Fax

Practice location:
  • Phone: 513-212-6003
  • Fax: 513-984-9940
Mailing address:
  • Phone: 513-212-6003
  • Fax: 513-984-9940

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QM0850X
TaxonomyAdult Mental Health Clinic/Center
License Number
License Number StateNULL

VIII. Authorized Official

Name: DR. ELIZABETH ANNE LEHMAN
Title or Position: PSYCHOLOGIST
Credential: PH.D.
Phone: 513-212-6003