| |
10889 Reading Rd Cincinnati OH 45241-2553 | |
(513) 554-4500 | |
(513) 880-0689 |
Full Name | |
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Speciality | Counselor |
Location | 10889 Reading Rd, Cincinnati, Ohio |
Authorized Official Name and Position | Amy Simpson Hoyle (EXECUTIVE DIRECTOR/OWNER) |
Authorized Official Contact | 5133199031 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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428 Creekborough Ct South Lebanon OH 45065-8778 Ph: (513) 319-9031 | 10889 Reading Rd Cincinnati OH 45241-2553 Ph: (513) 554-4500 |
NPI Number | 1629627765 |
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Provider Enumeration Date | 09/11/2019 |
Last Update Date | 01/28/2025 |
Certification Date | 01/28/2025 |
Medicare PECOS PAC ID | 0042639353 |
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Medicare Enrollment ID | O20201005002765 |
Identifier | Type | State | Issuer |
---|---|---|---|
1629627765 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
Provider Name | Amy S Hoyle |
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Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1093981839 PECOS PAC ID: 1951720267 Enrollment ID: I20201005002809 |
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