Provider Demographics
NPI:1962127266
Name:ELIMU KUPONYA LLC
Entity type:Organization
Organization Name:ELIMU KUPONYA LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/CEO
Authorized Official - Prefix:MS
Authorized Official - First Name:EBONY
Authorized Official - Middle Name:RENEE'
Authorized Official - Last Name:STUTSON
Authorized Official - Suffix:
Authorized Official - Credentials:LPC
Authorized Official - Phone:513-250-0272
Mailing Address - Street 1:7009 LOCKER CT
Mailing Address - Street 2:
Mailing Address - City:CINCINNATI
Mailing Address - State:OH
Mailing Address - Zip Code:45224-2488
Mailing Address - Country:US
Mailing Address - Phone:513-250-0272
Mailing Address - Fax:
Practice Address - Street 1:7009 LOCKER CT
Practice Address - Street 2:
Practice Address - City:CINCINNATI
Practice Address - State:OH
Practice Address - Zip Code:45224-2488
Practice Address - Country:US
Practice Address - Phone:513-250-0272
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-10-10
Last Update Date:2022-10-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Single Specialty
No251S00000XAgenciesCommunity/Behavioral HealthGroup - Single Specialty