Provider Demographics
NPI:1447011291
Name:TIMMONS, NATHANIEL COLE (LPC)
Entity type:Individual
Prefix:
First Name:NATHANIEL
Middle Name:COLE
Last Name:TIMMONS
Suffix:
Gender:M
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5802 ADELPHI ST
Mailing Address - Street 2:
Mailing Address - City:CINCINNATI
Mailing Address - State:OH
Mailing Address - Zip Code:45227-2804
Mailing Address - Country:US
Mailing Address - Phone:260-227-0145
Mailing Address - Fax:
Practice Address - Street 1:3380 ERIE AVE UNIT 202
Practice Address - Street 2:
Practice Address - City:CINCINNATI
Practice Address - State:OH
Practice Address - Zip Code:45208-1626
Practice Address - Country:US
Practice Address - Phone:513-759-9744
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-01-18
Last Update Date:2024-01-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHC.2405748101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health