Healthcare Provider Details

I. General information

NPI: 1245863596
Provider Name (Legal Business Name): PAIGE CROMER LPCC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 02/14/2020
Last Update Date: 01/21/2025
Certification Date: 01/21/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

463 OHIO PIKE STE 102-B
CINCINNATI OH
45255-3721
US

IV. Provider business mailing address

906 MEADOWLAND DR APT 202
CINCINNATI OH
45255-4471
US

V. Phone/Fax

Practice location:
  • Phone: 888-830-0347
  • Fax: 513-939-0310
Mailing address:
  • Phone: 513-307-7021
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License NumberC.1902122-TRNE
License Number StateOH
# 2
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License NumberE.2404946
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: