Organization
ANAHATA COUNSELING
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JILL LATHAM CREDENTIALING (MANAGER)
(937) 544-4020
Entity
Organization
Contact information
Practice address
7433 CLOVERNOOK AVE, CINCINNATI, OH 45231-4427
(937) 544-4020
(937) 544-4009
Mailing address
7433 CLOVERNOOK AVE, CINCINNATI, OH 45231-4427
(937) 544-4020
(937) 544-4009
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
101YP2500X
Professional Counselor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
161970
LICENSE
OH
01
—
C.1902037
LICENSE
OH
Enumeration date
11/19/2021
Last updated
11/19/2021
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