Healthcare Provider Details

I. General information

NPI: 1649519687
Provider Name (Legal Business Name): STEPHANIE WHEELER WURZBACHER LMFT
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 02/12/2013
Last Update Date: 07/16/2026
Certification Date: 07/16/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6770 CINCINNATI DAYTON RD STE 208
LIBERTY TOWNSHIP OH
45044-9318
US

IV. Provider business mailing address

2600 VICTORY PKWY
CINCINNATI OH
45206-1711
US

V. Phone/Fax

Practice location:
  • Phone: 216-468-5000
  • Fax:
Mailing address:
  • Phone: 513-751-7747
  • Fax: 513-751-0180

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code106H00000X
TaxonomyMarriage & Family Therapist
License NumberF.1600001
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: