Provider Demographics
NPI:1427860345
Name:LONGMIRE, ARNETTA (OCPSA)
Entity type:Individual
Prefix:
First Name:ARNETTA
Middle Name:
Last Name:LONGMIRE
Suffix:
Gender:F
Credentials:OCPSA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8319 KENWOOD RD APT 5
Mailing Address - Street 2:
Mailing Address - City:CINCINNATI
Mailing Address - State:OH
Mailing Address - Zip Code:45236-2371
Mailing Address - Country:US
Mailing Address - Phone:513-266-7694
Mailing Address - Fax:
Practice Address - Street 1:8319 KENWOOD RD APT 5
Practice Address - Street 2:
Practice Address - City:CINCINNATI
Practice Address - State:OH
Practice Address - Zip Code:45236-2371
Practice Address - Country:US
Practice Address - Phone:513-266-7694
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-01-27
Last Update Date:2025-01-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHOCPSA.161885405300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes405300000XOther Service ProvidersPrevention Professional