Healthcare Provider Details

I. General information

NPI: 1447826318
Provider Name (Legal Business Name): CMA COUNSELING, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/01/2021
Last Update Date: 06/01/2021
Certification Date: 06/01/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4226 MONTGOMERY RD
CINCINNATI OH
45212-3102
US

IV. Provider business mailing address

1701 WEST ST
CINCINNATI OH
45212-2523
US

V. Phone/Fax

Practice location:
  • Phone: 513-317-1767
  • Fax: 513-672-2810
Mailing address:
  • Phone: 513-317-1767
  • Fax: 513-672-2810

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number
License Number State

VIII. Authorized Official

Name: CHRISTINA MAYHAUS
Title or Position: OWNER/THERAPIST
Credential: LPCC-S
Phone: 513-317-1767