Provider Demographics
NPI:1053007823
Name:DONNA FORD CLINICAL COUNSELING
Entity type:Organization
Organization Name:DONNA FORD CLINICAL COUNSELING
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:DONNA
Authorized Official - Middle Name:
Authorized Official - Last Name:FORD
Authorized Official - Suffix:
Authorized Official - Credentials:LPCC-S LICDC
Authorized Official - Phone:513-488-6312
Mailing Address - Street 1:1639 N BEND RD
Mailing Address - Street 2:
Mailing Address - City:CINCINNATI
Mailing Address - State:OH
Mailing Address - Zip Code:45224-2023
Mailing Address - Country:US
Mailing Address - Phone:513-488-6312
Mailing Address - Fax:513-297-9439
Practice Address - Street 1:1639 N BEND RD
Practice Address - Street 2:
Practice Address - City:CINCINNATI
Practice Address - State:OH
Practice Address - Zip Code:45224-2023
Practice Address - Country:US
Practice Address - Phone:513-488-6312
Practice Address - Fax:513-297-9439
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-04-14
Last Update Date:2024-10-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0801XAmbulatory Health Care FacilitiesClinic/CenterMental Health (Including Community Mental Health Center)