Provider Demographics
NPI:1699517235
Name:SPITZ THERAPY LLC
Entity type:Organization
Organization Name:SPITZ THERAPY LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SOLE PROPRIETER/LICENSED THERAPIST
Authorized Official - Prefix:
Authorized Official - First Name:MICHAEL
Authorized Official - Middle Name:
Authorized Official - Last Name:SPITZ
Authorized Official - Suffix:
Authorized Official - Credentials:LISW
Authorized Official - Phone:323-286-7301
Mailing Address - Street 1:11036 HUNTWICKE PL
Mailing Address - Street 2:
Mailing Address - City:BLUE ASH
Mailing Address - State:OH
Mailing Address - Zip Code:45241-6639
Mailing Address - Country:US
Mailing Address - Phone:323-286-7301
Mailing Address - Fax:
Practice Address - Street 1:8280 MONTGOMERY RD STE 304
Practice Address - Street 2:
Practice Address - City:CINCINNATI
Practice Address - State:OH
Practice Address - Zip Code:45236-6101
Practice Address - Country:US
Practice Address - Phone:323-286-7301
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-06-12
Last Update Date:2024-06-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Single Specialty