| Kennedy Heights Counseling Services Llc | |
|
10999 Reed Hartman Hwy Suite 130 Blue Ash OH 45242 | |
| (513) 266-9581 | |
| Not Available |
| Full Name | Kennedy Heights Counseling Services Llc |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 10999 Reed Hartman Hwy, Blue Ash, Ohio |
| Authorized Official Name and Position | Carrie Elizabeth Beaver (OWNER/COUNSELOR) |
| Authorized Official Contact | 5132669581 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Kennedy Heights Counseling Services Llc 10999 Reed Hartman Hwy Suite 130 Blue Ash OH 45242 Ph: (513) 266-9581 | Kennedy Heights Counseling Services Llc 10999 Reed Hartman Hwy Suite 130 Blue Ash OH 45242 Ph: (513) 266-9581 |
| NPI Number | 1427509157 |
|---|---|
| Provider Enumeration Date | 10/18/2016 |
| Last Update Date | 04/10/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1427509157 | NPI | - | NPPES |
| 0176788 | Medicaid | OH |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | E1000112 (Ohio) | Primary |
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