Healthcare Provider Details

I. General information

NPI: 1902307440
Provider Name (Legal Business Name): GENINE MENEFIELD LPCC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 02/21/2018
Last Update Date: 04/16/2026
Certification Date: 04/16/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5051 DUCK CREEK RD
CINCINNATI OH
45227-1440
US

IV. Provider business mailing address

5051 DUCK CREEK RD
CINCINNATI OH
45227-1440
US

V. Phone/Fax

Practice location:
  • Phone: 513-544-1462
  • Fax:
Mailing address:
  • Phone: 513-544-1462
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License NumberE266953
License Number StateOH
# 2
Primary TaxonomyY
Taxonomy Code101Y00000X
TaxonomyCounselor
License NumberC1300046
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: