Healthcare Provider Details

I. General information

NPI: 1053239814
Provider Name (Legal Business Name): EMPIRE BEHAVIORAL HEALTH LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/08/2026
Last Update Date: 07/08/2026
Certification Date: 07/09/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9885 SHELLBARK LN
CINCINNATI OH
45231-2329
US

IV. Provider business mailing address

9885 SHELLBARK LN
CINCINNATI OH
45231-2329
US

V. Phone/Fax

Practice location:
  • Phone: 513-902-8474
  • Fax:
Mailing address:
  • Phone: 513-902-8474
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License Number
License Number State

VIII. Authorized Official

Name: ASYA WILLIAMS
Title or Position: OWNER
Credential: LISW
Phone: 513-902-8474