MEDICARE: SCB ALLIANCE COUNSELING 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	101YP2500X	Professional Counselor

General Provider Information

NPI Number	:	1821684135
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	SCB ALLIANCE COUNSELING LLC

Provider Business Mailing Address
First Line	:	27 AVENELL LN
Second Line	:
City	:	CINCINNATI
State	:	OH
Zip	:	45218-1337
Country	:	US
Telephone Number	:	513-909-4242
Fax Number	:

Provider Business Practice Location Address
First Line	:	27 AVENELL LN
Second Line	:
City	:	CINCINNATI
State	:	OH
Zip	:	45218-1337
Country	:	US
Telephone Number	:	513-909-4242
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	STEPHEN BENOIT
Credential	:
Telephone Number	:	513-909-4242

Provider Enumeration Date	:	12/21/2020
Last Update Date	:	12/21/2020

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