Provider Demographics
NPI:1104130756
Name:HYDE PARK COUNSELING PROFESSIONALS
Entity type:Organization
Organization Name:HYDE PARK COUNSELING PROFESSIONALS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE/DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:GERALDINE
Authorized Official - Middle Name:
Authorized Official - Last Name:STEINER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:513-310-8408
Mailing Address - Street 1:2651 OBSERVATORY AVENUE
Mailing Address - Street 2:SUITE 10
Mailing Address - City:CINCINNATI
Mailing Address - State:OH
Mailing Address - Zip Code:45208
Mailing Address - Country:US
Mailing Address - Phone:513-533-4999
Mailing Address - Fax:513-533-4555
Practice Address - Street 1:2651 OBSERVATORY AVENUE
Practice Address - Street 2:SUITE 10
Practice Address - City:CINCINNATI
Practice Address - State:OH
Practice Address - Zip Code:45208
Practice Address - Country:US
Practice Address - Phone:513-533-4999
Practice Address - Fax:513-533-4555
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-08-05
Last Update Date:2011-03-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselorGroup - Single Specialty