Basic Information
| Provider Information | |||||||||
| NPI: | 1548351521 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | NEAVILL | ||||||||
| FirstName: | REBECCA | ||||||||
| MiddleName: | MICHELLE | ||||||||
| NamePrefix: | MRS. | ||||||||
| NameSuffix: | |||||||||
| Credential: | PCC, SC | ||||||||
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| Mailing Information | |||||||||
| Address1: | 551 BATAVIA PIKE # 555 | ||||||||
| Address2: | |||||||||
| City: | CINCINNATI | ||||||||
| State: | OH | ||||||||
| PostalCode: | 452441518 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 5137521555 | ||||||||
| FaxNumber: | 5137532144 | ||||||||
| Practice Location | |||||||||
| Address1: | 2337 CLERMONT CENTER DR | ||||||||
| Address2: | |||||||||
| City: | BATAVIA | ||||||||
| State: | OH | ||||||||
| PostalCode: | 451031959 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 5137328800 | ||||||||
| FaxNumber: | 5137328806 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 09/27/2006 | ||||||||
| LastUpdateDate: | 07/08/2007 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 101YP2500X | E3977 | OH | Y | Behavioral Health & Social Service Providers | Counselor | Professional |
No ID Information.