| Exclusive Services | |
|
11134 Luschek Dr Blue Ash OH 45241-2434 | |
| (513) 827-9273 | |
| Not Available |
| Full Name | Exclusive Services |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 11134 Luschek Dr, Blue Ash, Ohio |
| Authorized Official Name and Position | Tracy Rawls Msw, Licdc 07 (CEO/FOUNDER) |
| Authorized Official Contact | 5138279273 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Exclusive Services 11134 Luschek Dr Blue Ash OH 45241-2434 Ph: (513) 827-9273 | Exclusive Services 11134 Luschek Dr Blue Ash OH 45241-2434 Ph: (513) 827-9273 |
| NPI Number | 1174973499 |
|---|---|
| Provider Enumeration Date | 06/17/2016 |
| Last Update Date | 06/17/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1174973499 | NPI | - | NPPES |
| CL02255465003 | Other | OH | OHIO PHARMACY BOARD LICENSE |
| 017546 | Other | OH | ODMHA MENTAL HEALTH SERVICES |
| 13833 | Other | OH | ODMHA ALCOHOL AND DRUG SERVICES |
| H259510 | Other | OH | MEDICARE PTAN |
| 0064132 | Medicaid | OH |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | 017546 (Ohio) | Primary |
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