Basic Information
Provider Information
NPI: 1578921458
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: TOENSING
FirstName: HOLLY
MiddleName:  
NamePrefix:  
NameSuffix:  
Credential:  
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 1679 BRACHMAN AVE
Address2:  
City: CINCINNATI
State: OH
PostalCode: 452302007
CountryCode: US
TelephoneNumber:  
FaxNumber:  
Practice Location
Address1: 7140 OFFICE PARK DR
Address2:  
City: LIBERTY TOWNSHIP
State: OH
PostalCode: 450692261
CountryCode: US
TelephoneNumber: 5137772426
FaxNumber: 5137770017
Other Information
ProviderEnumerationDate: 02/05/2016
LastUpdateDate: 02/05/2016
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: Y
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
101YM0800XC.0900630OHY Behavioral Health & Social Service ProvidersCounselorMental Health

No ID Information.


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