Healthcare Provider Details

I. General information

NPI: 1366893042
Provider Name (Legal Business Name): FAMILY AND WOMENS HEALTHCARE OF CINCINNATI, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/23/2016
Last Update Date: 11/12/2024
Certification Date: 11/07/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8044 MONTGOMERY RD STE 700-7359
CINCINNATI OH
45236-2919
US

IV. Provider business mailing address

8044 MONTGOMERY RD STE 700-7359
CINCINNATI OH
45236-2919
US

V. Phone/Fax

Practice location:
  • Phone: 513-372-5071
  • Fax: 513-672-2544
Mailing address:
  • Phone: 513-372-5071
  • Fax: 513-672-2544

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code261QM1300X
TaxonomyMulti-Specialty Clinic/Center
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code261QR0405X
TaxonomySubstance Use Disorder Rehabilitation Clinic/Center
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberC0A15470NP
License Number StateOH
# 4
Primary TaxonomyY
Taxonomy Code261QM0801X
TaxonomyMental Health Clinic/Center (Including Community Mental Health Center)
License Number
License Number State

VIII. Authorized Official

Name: MRS. CAROL ANN PARKER
Title or Position: CEO
Credential: FNP - C
Phone: 513-226-2055