Healthcare Provider Details

I. General information

NPI: 1578375937
Provider Name (Legal Business Name): SKYWAY COUNSELING LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/23/2025
Last Update Date: 04/21/2026
Certification Date: 04/21/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5721 DRAGON WAY STE 307
CINCINNATI OH
45227-4518
US

IV. Provider business mailing address

3618 DAVENANT AVE
CINCINNATI OH
45213-2108
US

V. Phone/Fax

Practice location:
  • Phone: 513-399-6843
  • Fax:
Mailing address:
  • Phone: 513-518-2102
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QM0850X
TaxonomyAdult Mental Health Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: MADELYNNE CAMPBELL
Title or Position: OWNER
Credential: LPC
Phone: 513-399-6843