Healthcare Provider Details

I. General information

NPI: 1295577294
Provider Name (Legal Business Name): MOTHERSHIP INSTITUTE
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/10/2024
Last Update Date: 09/29/2024
Certification Date: 09/29/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4365 READING RD
CINCINNATI OH
45229
US

IV. Provider business mailing address

975 ENRIGHT AVE UNIT 5180
CINCINNATI OH
45205-9998
US

V. Phone/Fax

Practice location:
  • Phone: 513-903-5226
  • Fax:
Mailing address:
  • Phone: 513-903-5226
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code251B00000X
TaxonomyCase Management Agency
License Number
License Number StateNULL
# 2
Primary TaxonomyY
Taxonomy Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License Number
License Number StateNULL
# 3
Primary TaxonomyN
Taxonomy Code174H00000X
TaxonomyHealth Educator
License Number
License Number StateNULL
# 4
Primary TaxonomyN
Taxonomy Code171400000X
TaxonomyHealth & Wellness Coach
License Number
License Number StateNULL

VIII. Authorized Official

Name: MRS. MONICA THOMAS-COOPER
Title or Position: FOUNDER/OWNER
Credential:
Phone: 513-903-5226