Healthcare Provider Details

I. General information

NPI: 1104577915
Provider Name (Legal Business Name): CAROLENE SOK LPCC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 01/13/2022
Last Update Date: 07/21/2026
Certification Date: 07/21/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5505 CHEVIOT RD
CINCINNATI OH
45247-7003
US

IV. Provider business mailing address

3537 EPLEY LN APT 4
CINCINNATI OH
45247-7009
US

V. Phone/Fax

Practice location:
  • Phone: 513-740-1001
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101Y00000X
TaxonomyCounselor
License NumberE.2607379
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: