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General NPI Number Information
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NPI Number | 1881607471
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Entity Type | Organization
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Legal Business Name | CENTRAL CLINIC INC MENTAL HEALTH ACCESS POINT
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Dates
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Enumeration Date | 08/14/2006
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Last Update Date | 07/25/2024
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Provider Practice Location Address
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Address Line | 311 ALBERT SABIN WAY
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City | CINCINNATI
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State | OH
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Zip | 45229-2838
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Country | US
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Telephone | 513-558-8888
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Fax | 513-558-3100
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Provider Business Mailing Address
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Address Line | 311 ALBERT SABIN WAY
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City | CINCINNATI
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State | OH
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Zip | 45229-2838
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Country | US
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Telephone | 513-558-8888
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Fax | 513-558-3100
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Authorized Official
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Title or Position | PRESIDENT AND CEO
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Name | DR. KIMBERLY MAGES
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Credential | PH.D., LPCC
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Telephone | 513-558-9006
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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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Taxonomy #2
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 106H00000X
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Taxonomy Name | Marriage & Family Therapist
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 171M00000X
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Taxonomy Name | Case Manager/Care Coordinator
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License Number |
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License Number State |
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Taxonomy #5
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Taxonomy Code | 261QM0801X
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Taxonomy Name | Mental Health Clinic/Center (Including Community Mental Health Center)
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License Number | 0509
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License Number State | OH
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