Healthcare Provider Details

I. General information

NPI: 1467049916
Provider Name (Legal Business Name): CELIA KNOTT LPC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 12/30/2020
Last Update Date: 08/05/2022
Certification Date: 08/05/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

830 EZZARD CHARLES DR
CINCINNATI OH
45214-2525
US

IV. Provider business mailing address

6570 SOSNA DR
FAIRFIELD OH
45014-2222
US

V. Phone/Fax

Practice location:
  • Phone: 513-381-6672
  • Fax: 513-381-0305
Mailing address:
  • Phone: 513-942-4673
  • Fax: 513-737-1107

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License NumberC.2204482
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: