MEDICARE: EMILIA COSENZA CT

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	C.2406345-TRNE	OH

General Provider Information

NPI Number	:	1740098953
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	EMILIA COSENZA CT

Provider Business Mailing Address
First Line	:	303 GREENUP ST APT 401
Second Line	:
City	:	COVINGTON
State	:	KY
Zip	:	41011-3849
Country	:	US
Telephone Number	:	740-701-3528
Fax Number	:

Provider Business Practice Location Address
First Line	:	8040 HOSBROOK RD STE 320
Second Line	:
City	:	CINCINNATI
State	:	OH
Zip	:	45236-2908
Country	:	US
Telephone Number	:	513-939-0300
Fax Number	:

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

Provider Enumeration Date	:	12/19/2024
Last Update Date	:	02/11/2026

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Directions to “ EMILIA COSENZA CT” Practice Location

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