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Organization
LIFE PHASES LLC
Active
Organization
LIFE PHASES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TANISHA PERINE-DIXON LPCC-S (CLINICAL COUNSELOR)
(513) 405-7862
Entity
Organization
Contact information
Practice address
4861 IMPERIAL DR, LIBERTY TWP, OH 45011-9089
(513) 405-7862
Mailing address
4861 IMPERIAL DR, LIBERTY TWP, OH 45011-9089
(513) 405-7862
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
NULL
Other
Enumeration date
10/05/2026
Last updated
10/05/2026
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