Healthcare Provider Details

I. General information

NPI: 1265337158
Provider Name (Legal Business Name): METANOIA COUNSELING PARTNERS, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

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

III. Provider practice location address

2057 WOODTRAIL DR APT 90
FAIRFIELD OH
45014-4873
US

IV. Provider business mailing address

2057 WOODTRAIL DR APT 90
FAIRFIELD OH
45014-4873
US

V. Phone/Fax

Practice location:
  • Phone: 513-765-0072
  • Fax:
Mailing address:
  • Phone: 513-765-0072
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number StateNULL

VIII. Authorized Official

Name: ELIZABETH SHARPLES
Title or Position: CO-OWNER & THERAPIST
Credential: MA, LISW
Phone: 513-765-0072