Healthcare Provider Details

I. General information

NPI: 1043349947
Provider Name (Legal Business Name): DIONNE LAVERNE ROGERS LPCC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/05/2007
Last Update Date: 06/06/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6527 COLERAIN AVE
CINCINNATI OH
45239
US

IV. Provider business mailing address

446 MORGAN ST
CINCINNATI OH
45206
US

V. Phone/Fax

Practice location:
  • Phone: 513-834-7063
  • Fax: 513-873-1567
Mailing address:
  • Phone: 513-834-7063
  • Fax: 513-873-1567

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License NumberE.0500026
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: