Organization
KOSIS - KNOWLEDGE OF SELF IS SUPREME
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MIKAEL L WHITE-DAVIS LPCC (CEO/CLINICAL DIRECTOR)
(513) 591-9546
Entity
Organization
Contact information
Practice address
222 N E ST, HAMILTON, OH 45013-3048
(614) 407-4590
Mailing address
222 N E ST, HAMILTON, OH 45013-3048
(614) 407-4590
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
101YM0800X
Mental Health Counselor
Primary
—
—
251B00000X
Case Management Agency
—
—
Other
Enumeration date
06/15/2021
Last updated
05/06/2026
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