| New Leaf Counseling Group | |
|
11427 Reed Hartman Hwy Ste 119 Blue Ash OH 45241-2418 | |
| (513) 443-8790 | |
| (513) 618-6526 |
| Full Name | New Leaf Counseling Group |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 11427 Reed Hartman Hwy Ste 119, Blue Ash, Ohio |
| Authorized Official Name and Position | Traci Shuttlesworth Sippel (OWNER) |
| Authorized Official Contact | 5134438790 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| New Leaf Counseling Group 11427 Reed Hartman Hwy Ste 119 Blue Ash OH 45241-2418 Ph: (513) 443-8790 | New Leaf Counseling Group 11427 Reed Hartman Hwy Ste 119 Blue Ash OH 45241-2418 Ph: (513) 443-8790 |
| NPI Number | 1619612587 |
|---|---|
| Provider Enumeration Date | 05/04/2022 |
| Last Update Date | 05/04/2022 |
| Certification Date | 05/03/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1619612587 | NPI | - | NPPES |
| 0266404 | Medicaid | OH |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
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