Healthcare Provider Details

I. General information

NPI: 1518458819
Provider Name (Legal Business Name): ERIN JEAN MAYER LPCC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/22/2018
Last Update Date: 07/10/2021
Certification Date: 07/10/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

446 MORGAN ST
CINCINNATI OH
45206
US

IV. Provider business mailing address

615 ELSINORE PL STE 300
CINCINNATI OH
45202-1475
US

V. Phone/Fax

Practice location:
  • Phone: 138-347-0635
  • Fax: 513-873-1567
Mailing address:
  • Phone: 513-834-7063
  • Fax: 513-873-1567

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License NumberC.1901930
License Number StateOH
# 2
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License NumberE.2102365
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: