Healthcare Provider Details

I. General information

NPI: 1831015205
Provider Name (Legal Business Name): WARMWILLOWRESILENCE
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

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

III. Provider practice location address

1000 JEFFERSON AVE
CINCINNATI OH
45215-3236
US

IV. Provider business mailing address

1000 JEFFERSON AVE
CINCINNATI OH
45215-3236
US

V. Phone/Fax

Practice location:
  • Phone: 513-208-3427
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number
License Number State

VIII. Authorized Official

Name: ASHLEY TENAS
Title or Position: CLINICAL SOCIAL WORKER
Credential: LISW-S
Phone: 513-208-3427