Healthcare Provider Details

I. General information

NPI: 1285869313
Provider Name (Legal Business Name): SHARON ANNE GROOMS LPCC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/19/2009
Last Update Date: 05/19/2009
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

311 ALBERT SABIN WAY
CINCINNATI OH
45229
US

IV. Provider business mailing address

311 ALBERT SABIN WAY
CINCINNATI OH
45229
US

V. Phone/Fax

Practice location:
  • Phone: 513-558-8888
  • Fax: 513-558-3100
Mailing address:
  • Phone: 513-558-8888
  • Fax: 513-558-3100

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101Y00000X
TaxonomyCounselor
License NumberE.0600175
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: