Healthcare Provider Details

I. General information

NPI: 1548176332
Provider Name (Legal Business Name): ALEXIA WAGNER INMAN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: ALEXIA LABOUNTY

II. Dates (important events)

Enumeration Date: 08/20/2026
Last Update Date: 08/20/2026
Certification Date: 08/19/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7243 EASTLAWN DR
CINCINNATI OH
45237-3515
US

IV. Provider business mailing address

44 WEST FREEDOM WAY 819
CINCINNATI OH
45202
US

V. Phone/Fax

Practice location:
  • Phone: 513-740-1001
  • Fax:
Mailing address:
  • Phone: 310-293-3287
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: