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Organization
DECLARE THERAPY CENTER, INC.
Active
Organization
DECLARE THERAPY CENTER, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PURCELL TAYLOR JR. LPCC-S, LICDC-S, ED. (CEO)
(513) 834-7050
Entity
Organization
Contact information
Practice address
635 W 7TH ST STE 103, CINCINNATI, OH 45203-1546
(513) 834-7050
(513) 834-7052
Mailing address
635 W 7TH ST STE 103, CINCINNATI, OH 45203-1546
(513) 834-7050
(513) 834-7052
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
NULL
101YM0800X
Mental Health Counselor
Primary
—
—
251S00000X
Community/Behavioral Health Agency
—
NULL
Other
Enumeration date
05/02/2012
Last updated
07/21/2022
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