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NPI 1619768140

NPI 1619768140 : LILY GARVIN LPC : CINCINNATI, OH

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General NPI Number Information
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    NPI Number           |    1619768140
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    Entity Type          |    Individual 
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    Provider Name        |    LILY GARVIN LPC
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    05/14/2025
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    Last Update Date     |    09/11/2025
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Provider Practice Location Address
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    Address Line         |    463 OHIO PIKE STE 102-B 
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    City                 |    CINCINNATI
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    State                |    OH
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    Zip                  |    45255-3721
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    Country              |    US
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    Telephone            |    888-262-3616
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    954 E MCMILLAN ST APT 210 
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    City                 |    CINCINNATI
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    State                |    OH
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    Zip                  |    45206-3468
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    Country              |    US
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    Telephone            |    765-717-7848
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    Fax                  |    
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Authorized Official
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    Title or Position    |    
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    Name                 |        
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    Credential           |    
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    Telephone            |    
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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       |    C.2507325
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    License Number State |    OH
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