# GEMINI SHORES COUNSELING LLC

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

## Provider details

- **NPI number:** 1407771066
- **Authorized official:** DR. KERRI D MCKENNA ED.D., MSW, LISW (CLINICAL SOCIAL WORKER)
- **Authorized official phone:** (513) 404-4159

## Contact information

- **Practice address:** 8977 COLUMBIA RD STE G, LOVELAND, OH 45140-1100
- **Practice address phone:** (513) 404-4159
- **Mailing address:** 8903 PEMBROOKE ST, MAINEVILLE, OH 45039-9742
- **Mailing address phone:** (513) 404-4159

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1041C0700X | Clinical Social Worker | — | NULL | Yes |
| 1041C0700X | Clinical Social Worker | — | — | Yes |
| 261QM0855X | Adolescent and Children Mental Health Clinic/Center | — | — | Yes |

## Other

- **Enumeration date:** 08/12/2026
- **Last updated:** 09/08/2026