Healthcare Provider Details

I. General information

NPI: 1841944501
Provider Name (Legal Business Name): ELLEN GORMLEY LPCC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 02/10/2022
Last Update Date: 06/26/2026
Certification Date: 06/26/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2135 DANA AVE
CINCINNATI OH
45207-1313
US

IV. Provider business mailing address

1691 CLIFF RD
NORTH BEND OH
45052-9636
US

V. Phone/Fax

Practice location:
  • Phone: 513-505-2981
  • Fax:
Mailing address:
  • Phone: 513-505-2981
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License NumberE.2102611
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: