Healthcare Provider Details
I. General information
NPI: 1114677168
Provider Name (Legal Business Name): LIVING HOPE COUNSELING SERVICES
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 03/24/2022
Last Update Date: 03/24/2022
Certification Date: 03/24/2022
Deactivation Date:
Reactivation Date:
III. Provider practice location address
1538 GROESBECK RD
CINCINNATI OH
45224
US
IV. Provider business mailing address
5742 HAMILTON AVE
CINCINNATI OH
45224
US
V. Phone/Fax
- Phone: 513-371-5135
- Fax: 513-834-7954
- Phone: 513-371-5135
- Fax: 513-834-7954
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 101YM0800X |
| Taxonomy | Mental Health Counselor |
| License Number | |
| License Number State | |
| # 2 | |
| Primary Taxonomy | N |
| Taxonomy Code | 101YP2500X |
| Taxonomy | Professional Counselor |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
JEANNE
LOUISE
SCHNEIDER
Title or Position: EXECUTIVE DIRECTOR
Credential: LPCCS
Phone: 573-371-5135