Healthcare Provider Details

I. General information

NPI: 1508394370
Provider Name (Legal Business Name): EMILIE S CLEAVER LPCC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/24/2017
Last Update Date: 08/21/2026
Certification Date: 08/21/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

140 FAIRWAY DR
WILMINGTON OH
45177-8008
US

IV. Provider business mailing address

140 FAIRWAY DR
WILMINGTON OH
45177-8008
US

V. Phone/Fax

Practice location:
  • Phone: 513-549-4110
  • Fax:
Mailing address:
  • Phone: 513-549-4110
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License NumberE.2303847
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: