=====================================================
General NPI Number Information
=====================================================
NPI Number | 1760305403
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | PROSPEROUS SOUL COUNSELING & WELLNESS LLC
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 07/31/2026
-----------------------------------------------------
Last Update Date | 07/31/2026
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 8977 COLUMBIA RD STE H
-----------------------------------------------------
City | LOVELAND
-----------------------------------------------------
State | OH
-----------------------------------------------------
Zip | 45140-1100
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 513-409-0655
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 37 BRITTANY DR
-----------------------------------------------------
City | CLARKSVILLE
-----------------------------------------------------
State | OH
-----------------------------------------------------
Zip | 45113-7001
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 513-728-5590
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | MENTAL HEALTH CHRISTIAN THERAPIST
-----------------------------------------------------
Name | MRS. TIFFANY LYNN KEMPF
-----------------------------------------------------
Credential | LISW-S
-----------------------------------------------------
Telephone | 513-728-5590
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 261QM0850X
-----------------------------------------------------
Taxonomy Name | Adult Mental Health Clinic/Center
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------
Taxonomy #2
-----------------------------------------------------
Taxonomy Code | 261QM0855X
-----------------------------------------------------
Taxonomy Name | Adolescent and Children Mental Health Clinic/Center
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------