| Lifeway Counseling Centers, Inc. | |
|
11161 Kenwood Rd Cincinnati OH 45242-1817 | |
| (513) 769-4600 | |
| (513) 769-0304 |
| Full Name | Lifeway Counseling Centers, Inc. |
|---|---|
| Speciality | Psychologist |
| Location | 11161 Kenwood Rd, Cincinnati, Ohio |
| Authorized Official Name and Position | Martin Re (PRESIDENT) |
| Authorized Official Contact | 5137444610 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Lifeway Counseling Centers, Inc. 11161 Kenwood Rd Cincinnati OH 45242-1817 Ph: (513) 769-4600 | Lifeway Counseling Centers, Inc. 11161 Kenwood Rd Cincinnati OH 45242-1817 Ph: (513) 769-4600 |
| NPI Number | 1902837636 |
|---|---|
| Provider Enumeration Date | 07/05/2006 |
| Last Update Date | 05/23/2013 |
| Medicare PECOS PAC ID | 8729036033 |
|---|---|
| Medicare Enrollment ID | O20050104000225 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1902837636 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC1900X | Psychologist - Counseling | (* (Not Available)) | Primary |
| Provider Name | Mary D Huhn |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1619900784 PECOS PAC ID: 4183525819 Enrollment ID: I20040116000047 |
| Provider Name | Terry R Payne |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1871829895 PECOS PAC ID: 4789651563 Enrollment ID: I20040911000320 |
| Provider Name | Owen L Clutterbuck |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1255313177 PECOS PAC ID: 0941465272 Enrollment ID: I20120711000362 |
| Provider Name | Pamela P Gerdes |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1073836441 PECOS PAC ID: 2668600271 Enrollment ID: I20140106000113 |
| Provider Name | Christina L Lunsford |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1407001563 PECOS PAC ID: 0446475073 Enrollment ID: I20140715001431 |
| Provider Name | John Walsh |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1356587091 PECOS PAC ID: 0345462909 Enrollment ID: I20141114000964 |
| Provider Name | Leanne J Myers |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1457694291 PECOS PAC ID: 1759697097 Enrollment ID: I20150901000741 |
| Provider Name | Jennifer Anne Jones |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1104345024 PECOS PAC ID: 0547535254 Enrollment ID: I20180605001772 |
| Provider Name | H Jill Nutter |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1891219895 PECOS PAC ID: 8527487073 Enrollment ID: I20201001002356 |
| Provider Name | Timothy D Heller |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1073652475 PECOS PAC ID: 0446679864 Enrollment ID: I20201002001724 |
| Provider Name | Michele Denise Fischer |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1265703250 PECOS PAC ID: 7416366075 Enrollment ID: I20210511002496 |
| Provider Name | Stephen Benoit |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1699121798 PECOS PAC ID: 2769835594 Enrollment ID: I20240129002609 |
| Provider Name | Angelica Willeford |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1487244547 PECOS PAC ID: 0446603278 Enrollment ID: I20240129002761 |
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