Healthcare Provider Details

I. General information

NPI: 1972049260
Provider Name (Legal Business Name): OLIVIA L REYNOLDS LPCC-S, LMHC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 01/11/2017
Last Update Date: 04/14/2026
Certification Date: 04/14/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4353 SCHENCK AVE
CINCINNATI OH
45236-2621
US

IV. Provider business mailing address

4353 SCHENCK AVE
CINCINNATI OH
45236-2621
US

V. Phone/Fax

Practice location:
  • Phone: 513-557-6996
  • Fax:
Mailing address:
  • Phone: 513-557-6996
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License NumberC.1400577
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: