Healthcare Provider Details

I. General information

NPI: 1861551897
Provider Name (Legal Business Name): FLORENCE LIDDELL DEWITT LPCC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 12/06/2006
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8035 HOSBROOK RD SUITE 300
CINCINNATI OH
45236-2951
US

IV. Provider business mailing address

8035 HOSBROOK RD SUITE 300
CINCINNATI OH
45236-2951
US

V. Phone/Fax

Practice location:
  • Phone: 513-791-5990
  • Fax: 513-792-3308
Mailing address:
  • Phone: 513-791-5990
  • Fax: 513-792-3308

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License NumberE4277
License Number StateOH
# 2
Primary TaxonomyN
Taxonomy Code101YP1600X
TaxonomyPastoral Counselor
License NumberE4277
License Number StateOH
# 3
Primary TaxonomyN
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License NumberE4277
License Number StateOH
# 4
Primary TaxonomyY
Taxonomy Code106H00000X
TaxonomyMarriage & Family Therapist
License NumberE4277
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: