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Organization

CHRIST TABERNACLE MINISTRIES OF EXCELLENCE INC.

Active
Other names
Step of Faith Comprehensive Health and Wellness Center
Organization subpart
No

Provider details

NPI number
Authorized official
DR. EDNA DENISE LACKEY RN MBA PH.D (PRACTITIONER)
(513) 771-3412
Entity
Organization

Contact information

Practice address
11260 CHESTER RD STE 240, CINCINNATI, OH 45246-4050
(513) 771-3412
Mailing address
11260 CHESTER RD STE 240, CINCINNATI, OH 45246-4050
(513) 771-3412

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
101YP1600X
Pastoral Counselor
163WA2000X
Administrator Registered Nurse
163WD0400X
Diabetes Educator Registered Nurse
174H00000X
Health Educator
261QP2300X
Primary Care Clinic/Center
Primary
OH

Other

Enumeration date
07/16/2014
Last updated
07/16/2014
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