Healthcare Provider Details

I. General information

NPI: 1043002215
Provider Name (Legal Business Name): ANDREW JAMES ARNOLD CT
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/21/2025
Last Update Date: 10/08/2025
Certification Date: 10/08/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

463 OHIO PIKE STE 102
CINCINNATI OH
45255-3746
US

IV. Provider business mailing address

1157 WESTCHESTER WAY
CINCINNATI OH
45244-5040
US

V. Phone/Fax

Practice location:
  • Phone: 888-830-0347
  • Fax:
Mailing address:
  • Phone: 513-405-1570
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License NumberC.2507022-TRNE
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: