| Mental Cleanse Therapeutic & Counseling Services, Llc | |
|
430 Reading Rd Ste 300 Cincinnati OH 45202-1460 | |
| (513) 213-0056 | |
| Not Available |
| Full Name | Mental Cleanse Therapeutic & Counseling Services, Llc |
|---|---|
| Speciality | Social Worker |
| Location | 430 Reading Rd Ste 300, Cincinnati, Ohio |
| Authorized Official Name and Position | Courtni Wright (OWNER/ AUTHORIZED OFFICIAL) |
| Authorized Official Contact | 5132130056 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Mental Cleanse Therapeutic & Counseling Services, Llc 2692 Madison Rd Ste N1 Cincinnati OH 45208-1320 Ph: (513) 213-0056 | Mental Cleanse Therapeutic & Counseling Services, Llc 430 Reading Rd Ste 300 Cincinnati OH 45202-1460 Ph: (513) 213-0056 |
| NPI Number | 1902477896 |
|---|---|
| Provider Enumeration Date | 07/02/2021 |
| Last Update Date | 10/13/2023 |
| Certification Date | 10/13/2023 |
| Medicare PECOS PAC ID | 2264839679 |
|---|---|
| Medicare Enrollment ID | O20210928003147 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1902477896 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
| Provider Name | Courtni Dawn Wright |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1528577061 PECOS PAC ID: 2668720574 Enrollment ID: I20210928003277 |
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