MEDICARE: REMNANT COUNSELING CENTER L.L.C.

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	1041C0700X	Clinical Social Worker
2	261QM0801X	Mental Health Clinic/Center (Including Community Mental Health Center)

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1801535232
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	REMNANT COUNSELING CENTER L.L.C.

Provider Business Mailing Address
First Line	:	1125 COMMERCIAL DR
Second Line	:
City	:	LEXINGTON
State	:	KY
Zip	:	40505-3815
Country	:	US
Telephone Number	:	859-359-8352
Fax Number	:	859-554-4110

Provider Business Practice Location Address
First Line	:	250 E 5TH ST
Second Line	:
City	:	CINCINNATI
State	:	OH
Zip	:	45202-4119
Country	:	US
Telephone Number	:	859-359-8352
Fax Number	:	859-554-4110

Authorized Official
Title or Position	:	OWNER/MANAGER
Name	:	DAISY E BROWN
Credential	:	LCSW
Telephone Number	:	859-359-8352

Provider Enumeration Date	:	06/02/2022
Last Update Date	:	06/02/2022

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