Healthcare Provider Details

I. General information

NPI: 1770324998
Provider Name (Legal Business Name): TAJEE CHILDERS-WHITFIELD LPC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/03/2024
Last Update Date: 08/31/2026
Certification Date: 08/31/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

600 W LOVELAND AVE STE 2A
LOVELAND OH
45140-2360
US

IV. Provider business mailing address

2600 VICTORY PKWY
CINCINNATI OH
45206-1395
US

V. Phone/Fax

Practice location:
  • Phone: 513-683-4673
  • Fax:
Mailing address:
  • Phone: 513-683-4673
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License NumberC.2608418
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: