Full of Life Therapy LLC

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Legal business name

FULL OF LIFE THERAPY LLC

Practice address

11427 Reed Hartman Hwy
Blue Ash, OH 45241-2418

Phone

(513) 268-6055

NPI assigned

Feb 1, 2019

Last updated

Feb 1, 2019By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Eieshia Reid-OverbaughNPI 1255739231

Title

Lisw

Phone

(817) 729-7563

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Eieshia Reid-Overbaugh, LISW

  • Social Worker
  • Hamilton, OH
  • NPI 1255739231
  Authorized official Same address or phone

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1548979200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1548979200000",
    "number": "1407311616",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "731 HUMOCK CT",
            "city": "MAINEVILLE",
            "state": "OH",
            "postal_code": "450397369",
            "telephone_number": "817-729-7563"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11427 REED HARTMAN HWY",
            "city": "BLUE ASH",
            "state": "OH",
            "postal_code": "452412418",
            "telephone_number": "513-268-6055"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FULL OF LIFE THERAPY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-02-01",
        "last_updated": "2019-02-01",
        "status": "A",
        "authorized_official_last_name": "REID-OVERBAUGH",
        "authorized_official_first_name": "EIESHIA",
        "authorized_official_title_or_position": "LISW",
        "authorized_official_telephone_number": "817-729-7563"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michelle L Fricke
• Renee E Frisbie, MOT, OTR/L
• Angela Fritts, LSW
• Caroline Frances Fritz
• Maki Fukunishi, FNP-C
• Emily J Fumarola, LISW
• Autumn Furey
• Shana Gadomski
• Khadijah Gaines
• Puja Gaitonde

• Community/Behavioral Health Agency in Blue Ash, OH
• Providers in Blue Ash, OH by specialty
• Community/Behavioral Health Agency in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 1, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.