Healthcare Provider Details

I. General information

NPI: 1932403045
Provider Name (Legal Business Name): ELANNA HOPE WILSON-GUZMAN BA, MS, LMSW, LSW, L
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: ELANNA HOPE TOMES LSW

II. Dates (important events)

Enumeration Date: 01/04/2011
Last Update Date: 11/21/2022
Certification Date: 11/21/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

401 E MCMILLAN ST
CINCINNATI OH
45206-1922
US

IV. Provider business mailing address

7680 ROLLING MEADOWS DR
WEST CHESTER OH
45069-1225
US

V. Phone/Fax

Practice location:
  • Phone: 513-221-3350
  • Fax:
Mailing address:
  • Phone: 702-755-1585
  • Fax: 702-755-1585

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code101Y00000X
TaxonomyCounselor
License Number8513-S
License Number StateNV
# 2
Primary TaxonomyN
Taxonomy Code101YA0400X
TaxonomyAddiction (Substance Use Disorder) Counselor
License Number8513-S
License Number StateNV
# 3
Primary TaxonomyN
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number8513-S
License Number StateNV
# 4
Primary TaxonomyN
Taxonomy Code104100000X
TaxonomySocial Worker
License NumberS.2207823
License Number StateOH
# 5
Primary TaxonomyN
Taxonomy Code171M00000X
TaxonomyCase Manager/Care Coordinator
License Number8513-S
License Number StateNV
# 6
Primary TaxonomyN
Taxonomy Code225400000X
TaxonomyRehabilitation Practitioner
License Number
License Number State
# 7
Primary TaxonomyY
Taxonomy Code104100000X
TaxonomySocial Worker
License Number8513-S
License Number StateNV

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: