MEDICARE: COUNSELING CENTER OF CINCINNATI, LLC

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	101YM0800X	Mental Health Counselor

General Provider Information

NPI Number	:	1629627765
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	COUNSELING CENTER OF CINCINNATI, LLC

Provider Business Mailing Address
First Line	:	428 CREEKBOROUGH CT
Second Line	:
City	:	SOUTH LEBANON
State	:	OH
Zip	:	45065-8778
Country	:	US
Telephone Number	:	513-319-9031
Fax Number	:

Provider Business Practice Location Address
First Line	:	10889 READING RD
Second Line	:
City	:	CINCINNATI
State	:	OH
Zip	:	45241-2553
Country	:	US
Telephone Number	:	513-554-4500
Fax Number	:	513-880-0689

Authorized Official
Title or Position	:	EXECUTIVE DIRECTOR/OWNER
Name	:	AMY SIMPSON HOYLE
Credential	:	MSW, LISW
Telephone Number	:	513-319-9031

Provider Enumeration Date	:	09/11/2019
Last Update Date	:	01/28/2025

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