| Integrative Counseling Solutions, Llc | |
|
431 Ohio Pike Ste 198s Cincinnati OH 45255-3637 | |
| (513) 770-1705 | |
| (513) 770-1705 |
| Full Name | Integrative Counseling Solutions, Llc |
|---|---|
| Speciality | Counselor |
| Location | 431 Ohio Pike Ste 198s, Cincinnati, Ohio |
| Authorized Official Name and Position | Crystal A Hubbell (THERAPIST/SUPERVISER) |
| Authorized Official Contact | 5137701705 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Integrative Counseling Solutions, Llc 431 Ohio Pike Ste 198s Cincinnati OH 45255-3637 Ph: (513) 770-1705 | Integrative Counseling Solutions, Llc 431 Ohio Pike Ste 198s Cincinnati OH 45255-3637 Ph: (513) 770-1705 |
| NPI Number | 1235583865 |
|---|---|
| Provider Enumeration Date | 04/20/2016 |
| Last Update Date | 01/18/2018 |
| Medicare PECOS PAC ID | 1254722721 |
|---|---|
| Medicare Enrollment ID | O20211217001200 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1235583865 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | E.1100061 SUPV (Ohio) | Primary |
| Provider Name | Diana M Uthenwoldt |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1841710555 PECOS PAC ID: 9032449301 Enrollment ID: I20190930001550 |
| Provider Name | Penelope Chavez-frigon |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1912005356 PECOS PAC ID: 1355743006 Enrollment ID: I20210716002520 |
| Provider Name | Lauren Johns |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1790277747 PECOS PAC ID: 4688011927 Enrollment ID: I20240322001511 |
| Provider Name | Laura Wolfe |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1942725510 PECOS PAC ID: 7719325299 Enrollment ID: I20240403000424 |
| Provider Name | Crystal Ann Hubbell |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1679976138 PECOS PAC ID: 2062803539 Enrollment ID: I20240405000706 |
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