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Organization
REVIVECINCY LLC
Active
Organization
REVIVECINCY LLC
Active
Other names
ReviveCincy Counseling
Organization subpart
No
Provider details
NPI number
Authorized official
EMILEY MORTON LISW-S (FOUNDER)
(859) 559-3741
Entity
Organization
Contact information
Practice address
4790 RED BANK RD STE 126, CINCINNATI, OH 45227-1598
(513) 900-2016
Mailing address
4790 RED BANK RD STE 126, CINCINNATI, OH 45227-1598
(513) 900-2016
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
11/13/2020
Last updated
11/13/2020
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