Healthcare Provider Details

I. General information

NPI: 1811742422
Provider Name (Legal Business Name): JANE COLETTA DOWNEY
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/18/2024
Last Update Date: 06/03/2026
Certification Date: 06/03/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5740 GATEWAY STE 101
MASON OH
45040-1893
US

IV. Provider business mailing address

2479 MADISON RD APT 5
CINCINNATI OH
45208-1232
US

V. Phone/Fax

Practice location:
  • Phone: 513-549-1598
  • Fax:
Mailing address:
  • Phone: 440-523-1455
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License NumberC.2507257
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: