| NPI | 1811290992 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHANNON JEAN MAXWELL Owner, Authorized Official 513-304-4750 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: SD 0000) |
| Additional Taxonomies | 2084P0800X Psychiatry & Neurology, Psychiatry |
| 101YM0800X Counselor, Mental Health | |
| 101YP2500X Counselor, Professional (Licence: SD 000000) | |
| 103TC1900X Psychologist, Counseling | |
| 103TC2200X Psychologist, Clinical Child & Adolescent (Licence: SD 0000) | |
| 1041C0700X Social Worker, Clinical (Licence: SD 0000) | |
| 2084P0804X Psychiatry & Neurology, Child & Adolescent Psychiatry | |
| 363LP0808X Nurse Practitioner, Psych/Mental Health | |
| Enumeration Date | 2010-12-13 |
| Last Update Date | 2024-02-27 |