Healthcare Provider Details

I. General information

NPI: 1922480672
Provider Name (Legal Business Name): MICHELLE D KRUGH LPCC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/18/2015
Last Update Date: 07/14/2025
Certification Date: 07/14/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

250 N FAIR AVE
HAMILTON OH
45011-4222
US

IV. Provider business mailing address

250 N FAIR AVE
HAMILTON OH
45011-4222
US

V. Phone/Fax

Practice location:
  • Phone: 513-887-5035
  • Fax: 513-887-5035
Mailing address:
  • Phone: 513-887-5035
  • Fax: 513-887-4700

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License NumberE.2203183
License Number StateOH
# 2
Primary TaxonomyY
Taxonomy Code101Y00000X
TaxonomyCounselor
License NumberE.2203183
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: