Healthcare Provider Details

I. General information

NPI: 1538093125
Provider Name (Legal Business Name): RADICALLY GENUINE COUNSELING SERVICES LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/10/2026
Last Update Date: 06/10/2026
Certification Date: 06/10/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5332 RAPID RUN RD
CINCINNATI OH
45238-4244
US

IV. Provider business mailing address

5332 RAPID RUN RD
CINCINNATI OH
45238-4244
US

V. Phone/Fax

Practice location:
  • Phone: 513-998-6097
  • Fax: 513-995-2053
Mailing address:
  • Phone: 513-998-6097
  • Fax: 513-995-2053

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: MARIA MANGIONE
Title or Position: THERAPIST AND PRACTICE OWNER
Credential: LPCC-S
Phone: 513-998-6097