Provider Demographics
NPI: | 1174944615 |
---|---|
Name: | COUNSELING ALLIANCE, PLLC |
Entity type: | Organization |
Organization Name: | COUNSELING ALLIANCE, PLLC |
Other - Org Name: | |
Other - Org Type: | |
Authorized Official - Title/Position: | OWNER |
Authorized Official - Prefix: | MR |
Authorized Official - First Name: | TIM |
Authorized Official - Middle Name: | |
Authorized Official - Last Name: | BARBER |
Authorized Official - Suffix: | |
Authorized Official - Credentials: | LPCC-S,CSAT-S,NCC |
Authorized Official - Phone: | 513-376-9757 |
Mailing Address - Street 1: | 1251 KEMPER MEADOW DR |
Mailing Address - Street 2: | SUITE 100 |
Mailing Address - City: | CINCINNATI |
Mailing Address - State: | OH |
Mailing Address - Zip Code: | 45240-4121 |
Mailing Address - Country: | US |
Mailing Address - Phone: | 513-376-9757 |
Mailing Address - Fax: | 513-376-8347 |
Practice Address - Street 1: | 1251 KEMPER MEADOW DR |
Practice Address - Street 2: | SUITE 100 |
Practice Address - City: | CINCINNATI |
Practice Address - State: | OH |
Practice Address - Zip Code: | 45240-4121 |
Practice Address - Country: | US |
Practice Address - Phone: | 513-376-9757 |
Practice Address - Fax: | 513-376-8347 |
EIN: | <UNAVAIL> |
Is Organization Subpart?: | No |
Parent Organization LBN: | |
Parent Organization TIN: | |
Enumeration Date: | 2013-12-31 |
Last Update Date: | 2016-01-27 |
Deactivation Date: | |
Deactivation Code: | |
Reactivation Date: |
Provider Taxonomies
Primary? | Code | Type | Classification | Specialization | Group |
---|---|---|---|---|---|
Yes | 101YM0800X | Behavioral Health & Social Service Providers | Counselor | Mental Health | Group - Single Specialty |