# EMILY SOUDER, THERAPIST, LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1407544034
- **Authorized official:** EMILY SOUDER MED, LPCC-S, NCC (OWNER)
- **Authorized official phone:** (513) 399-7238

## Contact information

- **Practice address:** 8501 HENIZE RD, GEORGETOWN, OH 45121-9454
- **Practice address phone:** (513) 399-7238
- **Practice address fax:** (937) 378-8015
- **Mailing address:** 8501 HENIZE RD, GEORGETOWN, OH 45121-9454
- **Mailing address phone:** (513) 399-7238
- **Mailing address fax:** (937) 378-8015

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 101Y00000X | Counselor | — | NULL | — |
| 101Y00000X | Counselor | — | — | — |
| 101YM0800X | Mental Health Counselor | — | NULL | Yes |
| 101YM0800X | Mental Health Counselor | — | — | Yes |
| 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