MEDICARE: MRS. BETHANY IRENE PULIAFICO LPCC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	101Y00000X	Counselor	E.2404223	OH
2	101YP2500X	Professional Counselor	E.2404223	OH

General Provider Information

NPI Number	:	1013434778
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. BETHANY IRENE PULIAFICO LPCC

Provider Business Mailing Address
First Line	:	2650 BARTELS RD
Second Line	:
City	:	CINCINNATI
State	:	OH
Zip	:	45244-4009
Country	:	US
Telephone Number	:	513-232-7770
Fax Number	:

Provider Business Practice Location Address
First Line	:	2650 BARTELS RD
Second Line	:
City	:	CINCINNATI
State	:	OH
Zip	:	45244-4009
Country	:	US
Telephone Number	:	513-232-7770
Fax Number	:	513-232-7770

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/24/2017
Last Update Date	:	08/22/2025

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