Healthcare Provider Details

I. General information

NPI: 1386572394
Provider Name (Legal Business Name): EUNICORPS PSYCHIATRIC & COUNSELING SERVICES LLCEUNICORPS PSYCHIATRIC & COUNSELING SERVICES LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/11/2026
Last Update Date: 05/11/2026
Certification Date: 05/11/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3050 MACK RD STE 350
FAIRFIELD OH
45014-5392
US

IV. Provider business mailing address

3050 MACK RD STE 350
FAIRFIELD OH
45014-5392
US

V. Phone/Fax

Practice location:
  • Phone: 513-991-1263
  • Fax: 513-808-9584
Mailing address:
  • Phone: 513-991-1263
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code261QM0801X
TaxonomyMental Health Clinic/Center (Including Community Mental Health Center)
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License Number
License Number State
# 3
Primary TaxonomyY
Taxonomy Code2084P0800X
TaxonomyPsychiatry Physician
License Number
License Number State

VIII. Authorized Official

Name: MS. EUNICE POKUA ADU
Title or Position: PSYCH NP
Credential: CNP
Phone: 513-393-5166