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Organization
EMILY SOUDER, THERAPIST, LLC
Active
Organization
EMILY SOUDER, THERAPIST, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
EMILY SOUDER MED, LPCC-S, NCC (OWNER)
(513) 399-7238
Entity
Organization
Contact information
Practice address
8501 HENIZE RD, GEORGETOWN, OH 45121-9454
(513) 399-7238
(937) 378-8015
Mailing address
8501 HENIZE RD, GEORGETOWN, OH 45121-9454
(513) 399-7238
(937) 378-8015
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
NULL
101Y00000X
Counselor
—
—
101YM0800X
Mental Health Counselor
Primary
—
NULL
101YM0800X
Mental Health Counselor
Primary
—
—
101YP2500X
Professional Counselor
—
NULL
101YP2500X
Professional Counselor
—
—
261QM0850X
Adult Mental Health Clinic/Center
—
NULL
261QR1300X
Rural Health Clinic/Center
—
NULL
Other
Enumeration date
05/01/2023
Last updated
05/01/2023
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