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NPI Code Detail

MEDICARE: COMMUNITY HEALTH, FAMILY COUNSELING, EDUCATION CENTER

MEDICARE: COMMUNITY HEALTH, FAMILY COUNSELING, EDUCATION CENTER
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
1101Y00000XCounselor944096OH

General Provider Information

NPI Number : 1780912618
Entity Type Code : Organization
Provider Name (Legal Business Name) : COMMUNITY HEALTH, FAMILY COUNSELING, EDUCATION CENTER
Provider Business Mailing Address
First Line : 3284 N BEND RD
Second Line : SUITE 310B
City : CINCINNATI
State : OH
Zip : 45239-7688
Country : US
Telephone Number : 513-481-2432
Fax Number : 513-662-2432
Provider Business Practice Location Address
First Line : 3284 N BEND RD
Second Line : SUITE 310B
City : CINCINNATI
State : OH
Zip : 45239-7688
Country : US
Telephone Number : 513-481-2432
Fax Number : 513-662-2432
Authorized Official
Title or Position : PRESIDENT
Name : ROLAND M HEYNE
Credential : LICDC, OCPS II
Telephone Number : 513-481-2432
Provider Enumeration Date : 12/04/2009
Last Update Date : 12/04/2009

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