Healthcare Provider Details

I. General information

NPI: 1225539737
Provider Name (Legal Business Name): TRACY JANE LENAVITT LPCC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 02/21/2018
Last Update Date: 07/21/2026
Certification Date: 07/21/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

250 KNIGHTSBRIDGE DR
HAMILTON OH
45011-3167
US

IV. Provider business mailing address

4893 DESTINATION CT UNIT 103
WEST CHESTER OH
45069-7092
US

V. Phone/Fax

Practice location:
  • Phone: 513-868-5650
  • Fax:
Mailing address:
  • Phone: 210-601-1687
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number266439
License Number StateKY
# 2
Primary TaxonomyY
Taxonomy Code101Y00000X
TaxonomyCounselor
License NumberE.2505002
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: