Provider Demographics
NPI:1043877798
Name:KAMINSKY, ROBERT MICHAEL JOSEPH (LPCA)
Entity type:Individual
Prefix:
First Name:ROBERT MICHAEL
Middle Name:JOSEPH
Last Name:KAMINSKY
Suffix:
Gender:M
Credentials:LPCA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3050 ALPINE TER APT 1
Mailing Address - Street 2:
Mailing Address - City:CINCINNATI
Mailing Address - State:OH
Mailing Address - Zip Code:45208-2943
Mailing Address - Country:US
Mailing Address - Phone:513-508-6141
Mailing Address - Fax:
Practice Address - Street 1:7000 HOUSTON RD STE 29
Practice Address - Street 2:
Practice Address - City:FLORENCE
Practice Address - State:KY
Practice Address - Zip Code:41042-4879
Practice Address - Country:US
Practice Address - Phone:859-746-9272
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-05-28
Last Update Date:2019-05-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY247318101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional