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NPI Code Detail

MEDICARE: MENTAL CLEANSE THERAPEUTIC & CONSULTING SERVICES LLC

MEDICARE: MENTAL CLEANSE THERAPEUTIC & CONSULTING SERVICES 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
11041C0700XClinical Social Worker

General Provider Information

NPI Number : 1902477896
Entity Type Code : Organization
Provider Name (Legal Business Name) : MENTAL CLEANSE THERAPEUTIC & CONSULTING SERVICES LLC
Provider Business Mailing Address
First Line : 2692 MADISON RD STE N1
Second Line :
City : CINCINNATI
State : OH
Zip : 45208-1320
Country : US
Telephone Number : 513-213-0056
Fax Number :
Provider Business Practice Location Address
First Line : 430 READING RD STE 300
Second Line :
City : CINCINNATI
State : OH
Zip : 45202-1460
Country : US
Telephone Number : 513-213-0056
Fax Number :
Authorized Official
Title or Position : OWNER/ AUTHORIZED OFFICIAL
Name : COURTNI WRIGHT
Credential : LISW
Telephone Number : 513-213-0056
Provider Enumeration Date : 07/02/2021
Last Update Date : 10/13/2023

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Directions to “MENTAL CLEANSE THERAPEUTIC & CONSULTING SERVICES LLC ” Practice Location

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These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.