Organization Name: | LIFE EXPRESSIONS |
NPI Number: | 1265798706 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | CAROL J. BRADY (PRESIDENT) |
Mailing Address: | 10274 Alliance Rd Blue Ash |
State: | OH US |
Postal Code: | 452424710 |
Phone Number: | 5136318900 |
Fax Number: | 5138919994 |
NPI Enumeration Date: | 04/10/2012 |
NPI Last Update Date: | 04/10/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 1041C0700X |
License Number: | I-0003841 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | OH |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Social Worker |
Taxonomy Specialization: | Clinical |
Taxonomy Definition: | A social worker who holds a master |