| Declare Therapy Center, Inc. | |
|
635 W 7th St Ste 103 Cincinnati OH 45203-1546 | |
| (513) 834-7050 | |
| (513) 834-7052 |
| Full Name | Declare Therapy Center, Inc. |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 635 W 7th St Ste 103, Cincinnati, Ohio |
| Authorized Official Name and Position | Purcell Taylor (CEO) |
| Authorized Official Contact | 5138347050 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Declare Therapy Center, Inc. 635 W 7th St Ste 103 Cincinnati OH 45203-1546 Ph: (513) 834-7050 | Declare Therapy Center, Inc. 635 W 7th St Ste 103 Cincinnati OH 45203-1546 Ph: (513) 834-7050 |
| NPI Number | 1982962437 |
|---|---|
| Provider Enumeration Date | 05/02/2012 |
| Last Update Date | 07/21/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1982962437 | NPI | - | NPPES |
| 0058660 | Medicaid | OH |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Secondary |
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