MEDICARE: WHITE COMPREHENSIVE 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
1	101YM0800X	Mental Health Counselor

General Provider Information

NPI Number	:	1902790959
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	WHITE COMPREHENSIVE SERVICES, LLC

Provider Business Mailing Address
First Line	:	325 N WAYNE AVE
Second Line	:
City	:	CINCINNATI
State	:	OH
Zip	:	45215-2842
Country	:	US
Telephone Number	:	513-518-9649
Fax Number	:

Provider Business Practice Location Address
First Line	:	325 N WAYNE AVE
Second Line	:
City	:	CINCINNATI
State	:	OH
Zip	:	45215-2842
Country	:	US
Telephone Number	:	513-518-9649
Fax Number	:

Authorized Official
Title or Position	:	CEO AND FOUNDER
Name	:	LAUREN WHITE
Credential	:	MA
Telephone Number	:	513-518-9649

Provider Enumeration Date	:	06/04/2025
Last Update Date	:	06/04/2025

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