Healthcare Provider Details

I. General information

NPI: 1316485253
Provider Name (Legal Business Name): AMANDA K. HAGER MA, LPCC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 02/10/2017
Last Update Date: 02/18/2025
Certification Date: 02/18/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6331 GLENWAY AVE
CINCINNATI OH
45211-6301
US

IV. Provider business mailing address

6331 GLENWAY AVE
CINCINNATI OH
45211-6301
US

V. Phone/Fax

Practice location:
  • Phone: 513-346-1270
  • Fax: 513-346-1281
Mailing address:
  • Phone: 513-346-1270
  • Fax: 513-346-1281

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number StateOH
# 2
Primary TaxonomyN
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License NumberC.1600762-TRNE
License Number StateOH
# 3
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License NumberE.2001850
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: