Provider Demographics
NPI:1063138758
Name:ARNOLD, JAMIE LASHAY (INDIVIDIAL PROVIDER)
Entity type:Individual
Prefix:
First Name:JAMIE
Middle Name:LASHAY
Last Name:ARNOLD
Suffix:
Gender:F
Credentials:INDIVIDIAL PROVIDER
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3771 HERBERT AVE
Mailing Address - Street 2:
Mailing Address - City:CINCINNATI
Mailing Address - State:OH
Mailing Address - Zip Code:45211-5436
Mailing Address - Country:US
Mailing Address - Phone:513-780-1637
Mailing Address - Fax:
Practice Address - Street 1:3771 HERBERT AVE
Practice Address - Street 2:
Practice Address - City:CINCINNATI
Practice Address - State:OH
Practice Address - Zip Code:45211-5436
Practice Address - Country:US
Practice Address - Phone:513-780-1637
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-10-14
Last Update Date:2022-10-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health