Provider Demographics
NPI:1992124580
Name:VERONICA R. BERNING
Entity type:Organization
Organization Name:VERONICA R. BERNING
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CENTRAL ADMISSION
Authorized Official - Prefix:
Authorized Official - First Name:VERONICA
Authorized Official - Middle Name:RAY
Authorized Official - Last Name:BERNING
Authorized Official - Suffix:
Authorized Official - Credentials:LSW
Authorized Official - Phone:513-608-5091
Mailing Address - Street 1:5400 EDALBERT DR
Mailing Address - Street 2:
Mailing Address - City:CINCINNATI
Mailing Address - State:OH
Mailing Address - Zip Code:45239-7604
Mailing Address - Country:US
Mailing Address - Phone:513-741-5690
Mailing Address - Fax:
Practice Address - Street 1:5400 EDALBERT DR
Practice Address - Street 2:
Practice Address - City:CINCINNATI
Practice Address - State:OH
Practice Address - Zip Code:45239-7604
Practice Address - Country:US
Practice Address - Phone:513-741-5690
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-04-10
Last Update Date:2014-04-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHS1302486251S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health