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Organization
WHITE STONE PSYCHIATRIC SERVICES
Active
Organization
WHITE STONE PSYCHIATRIC SERVICES
Active
Other names
White Stone Psychiatric Services, LLC
Organization subpart
No
Provider details
NPI number
Authorized official
JEREMY CARPENTER MD (OWNER)
(513) 673-6740
Entity
Organization
Contact information
Practice address
5108 SANDY LN, FAIRFIELD, OH 45014-2738
(513) 234-5959
Mailing address
5108 SANDY LN, FAIRFIELD, OH 45014-2738
(513) 234-5959
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
—
NULL
101YP2500X
Professional Counselor
—
—
2084A0401X
Addiction Medicine (Psychiatry & Neurology) Physician
Primary
—
NULL
2084A0401X
Addiction Medicine (Psychiatry & Neurology) Physician
Primary
—
—
2084P0800X
Psychiatry Physician
—
NULL
2084P0800X
Psychiatry Physician
—
—
2084P0802X
Addiction Psychiatry Physician
—
NULL
2084P0802X
Addiction Psychiatry Physician
—
—
363LF0000X
Family Nurse Practitioner
—
NULL
363LF0000X
Family Nurse Practitioner
—
—
367A00000X
Advanced Practice Midwife
—
NULL
367A00000X
Advanced Practice Midwife
—
—
Other
Enumeration date
01/13/2016
Last updated
05/11/2016
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