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NPI Code Detail

MEDICARE: DENORVAS WARREN

MEDICARE: DENORVAS WARREN
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
1101YP1600XPastoral Counselor
2171400000XHealth & Wellness Coach
3171M00000XCase Manager/Care Coordinator
4175T00000XPeer Specialist
5104100000XSocial WorkerS.2605050-TRNEOH

General Provider Information

NPI Number : 1710819776
Entity Type Code : Individual
Provider Name (Legal Business Name) : DENORVAS WARREN
Provider Business Mailing Address
First Line : 4595 PADDOCK RD
Second Line :
City : CINCINNATI
State : OH
Zip : 45229-1131
Country : US
Telephone Number : 323-270-2165
Fax Number :
Provider Business Practice Location Address
First Line : 4595 PADDOCK RD
Second Line :
City : CINCINNATI
State : OH
Zip : 45229-1131
Country : US
Telephone Number : 323-270-2165
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/02/2026
Last Update Date : 06/02/2026

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Directions to “ DENORVAS WARREN ” Practice Location

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