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General NPI Number Information
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NPI Number | 1144789611
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Entity Type | Organization
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Legal Business Name | EARLY CHILDHOOD COUNSELING SERVICES LLC
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Dates
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Enumeration Date | 03/14/2019
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Last Update Date | 07/11/2022
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Provider Practice Location Address
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Address Line | 4947 GLENWAY AVE
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City | CINCINNATI
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State | OH
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Zip | 45238-3908
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Country | US
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Telephone | 513-757-9433
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Fax | 513-824-8129
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Provider Business Mailing Address
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Address Line | 3208 ROBINA LN
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City | HAMILTON
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State | OH
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Zip | 45013-8679
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Country | US
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Telephone | 513-757-9433
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Fax | 513-824-8129
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Authorized Official
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Title or Position | OWNER
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Name | LISA M BERNATH
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Credential | M.ED., LPCC-S
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Telephone | 513-295-6182
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number |
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License Number State |
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