Healthcare Provider Details

I. General information

NPI: 1407333271
Provider Name (Legal Business Name): AMBER RENEE PHILLIPS LPCC-S
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/25/2018
Last Update Date: 04/20/2026
Certification Date: 04/20/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1171 E KEMPER RD
CINCINNATI OH
45246-3322
US

IV. Provider business mailing address

1171 E KEMPER RD
CINCINNATI OH
45246-3322
US

V. Phone/Fax

Practice location:
  • Phone: 513-461-2158
  • Fax:
Mailing address:
  • Phone: 513-461-2158
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License NumberE.2303967-SUPV
License Number StateOH
# 2
Primary TaxonomyN
Taxonomy Code101Y00000X
TaxonomyCounselor
License NumberC.1801274
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: