Healthcare Provider Details

I. General information

NPI: 1477345486
Provider Name (Legal Business Name): DAVIDDE GIANNOLA
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/19/2025
Last Update Date: 06/29/2026
Certification Date: 06/29/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2135 DANA AVE STE 215&220
CINCINNATI OH
45207-1313
US

IV. Provider business mailing address

1725 CLENEAY AVE APT 1125
NORWOOD OH
45212-3591
US

V. Phone/Fax

Practice location:
  • Phone: 513-975-4674
  • Fax:
Mailing address:
  • Phone: 440-409-6822
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License NumberC.2506789-TRNE
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: