Healthcare Provider Details

I. General information

NPI: 1700455698
Provider Name (Legal Business Name): DELTA COUNSELING, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/23/2021
Last Update Date: 08/29/2024
Certification Date: 08/29/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8300 PRINCETON GLENDALE RD STE 201
WEST CHESTER OH
45069-1677
US

IV. Provider business mailing address

8300 PRINCETON GLENDALE RD STE 201
WEST CHESTER OH
45069-1677
US

V. Phone/Fax

Practice location:
  • Phone: 513-201-7528
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code133V00000X
TaxonomyRegistered Dietitian
License Number
License Number State

VIII. Authorized Official

Name: TIM SCHNEIDER
Title or Position: PRESIDENT
Credential:
Phone: 513-201-7528