# DENE S BERMAN LIFESPAN COUNSELING ASSOCIATES

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

## Provider details

- **NPI number:** 1407991862
- **Authorized official:** SHARI BOONE (OFFICE MANAGER)
- **Authorized official phone:** (937) 426-2079

## Contact information

- **Practice address:** 1195 MEADOW BRIDGE DR STE B, BEAVERCREEK, OH 45434-4302
- **Practice address phone:** (937) 426-2079
- **Practice address fax:** (937) 426-0211
- **Mailing address:** PO BOX 340398, BEAVERCREEK, OH 45434-0398
- **Mailing address phone:** (937) 426-2079
- **Mailing address fax:** (937) 426-0211

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 101YM0800X | Mental Health Counselor | — | NULL | Yes |
| 101YM0800X | Mental Health Counselor | — | — | Yes |
| 103TC0700X | Clinical Psychologist | — | NULL | — |
| 103TC0700X | Clinical Psychologist | — | — | — |
| 1041C0700X | Clinical Social Worker | — | NULL | — |
| 1041C0700X | Clinical Social Worker | — | — | — |

## Other

- **Enumeration date:** 02/21/2007
- **Last updated:** 07/23/2008