MEDICARE: MR. AMARA EMENARI LPC

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	101YP2500X	Professional Counselor	E.2404524	OH

General Provider Information

NPI Number	:	1346748506
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MR. AMARA EMENARI LPC

Provider Business Mailing Address
First Line	:	2528 LYSLE LN APT 2
Second Line	:
City	:	CINCINNATI
State	:	OH
Zip	:	45212-1224
Country	:	US
Telephone Number	:	513-399-7092
Fax Number	:

Provider Business Practice Location Address
First Line	:	2528 LYSLE LN APT 2
Second Line	:
City	:	CINCINNATI
State	:	OH
Zip	:	45212-1224
Country	:	US
Telephone Number	:	513-399-7092
Fax Number	:

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

Provider Enumeration Date	:	01/23/2018
Last Update Date	:	10/21/2024

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