Healthcare Provider Details

I. General information

NPI: 1962582338
Provider Name (Legal Business Name): CINCINNATI COUNSELING SERVICE, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/17/2006
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5936 GLENWAY AVE
CINCINNATI OH
45238-2009
US

IV. Provider business mailing address

5936 GLENWAY AVE
CINCINNATI OH
45238-2009
US

V. Phone/Fax

Practice location:
  • Phone: 513-922-1660
  • Fax: 513-922-6230
Mailing address:
  • Phone: 513-922-1660
  • Fax: 513-922-6230

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code103TC1900X
TaxonomyCounseling Psychologist
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number
License Number State
# 4
Primary TaxonomyY
Taxonomy Code106H00000X
TaxonomyMarriage & Family Therapist
License Number
License Number State

VIII. Authorized Official

Name: MR. ROBERT WEST FORD
Title or Position: OWNER
Credential: LISW, LPCC
Phone: 513-922-1660