Healthcare Provider Details

I. General information

NPI: 1780912618
Provider Name (Legal Business Name): COMMUNITY HEALTH, FAMILY COUNSELING, EDUCATION CENTER
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/04/2009
Last Update Date: 12/04/2009
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3284 N BEND RD SUITE 310B
CINCINNATI OH
45239-7688
US

IV. Provider business mailing address

3284 N BEND RD SUITE 310B
CINCINNATI OH
45239-7688
US

V. Phone/Fax

Practice location:
  • Phone: 513-481-2432
  • Fax: 513-662-2432
Mailing address:
  • Phone: 513-481-2432
  • Fax: 513-662-2432

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101Y00000X
TaxonomyCounselor
License Number944096
License Number StateOH

VIII. Authorized Official

Name: ROLAND M HEYNE
Title or Position: PRESIDENT
Credential: LICDC, OCPS II
Phone: 513-481-2432