Beige Blackbird LLC

NPI #1548957673 in Cincinnati, Ohio

Provider Information

NPI Number: 1548957673
Entity Type: Organization
Organization Name: Beige Blackbird LLC
Primary Specialty: Counselor - Professional
Enumeration Date: Apr 19, 2023
Last Updated: Apr 19, 2023

Practice Location

Address: 2521 HACKBERRY ST APT 6
City: Cincinnati
State: Ohio
ZIP Code: 45206-2143
Phone: (513) 207-2777

Authorized Official

Name: MS. MICAIAH DANIELLE COPELAND, MA
Title: OWNER AND CLINICIAN
Phone: (513) 207-2777

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Counselor	101Y00000X
Counselor - Mental Health — Mental Health	101YM0800X
Counselor - Professional — Professional	101YP2500X	Primary

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