Organization · Type 2 NPI

The Open Table Cincy

Peer Specialist · Cincinnati, OH

NPI number 1689480352 Active

Practice location

1213 Tennessee Ave Ste 204
Cincinnati, OH 45229-1044

Call (513) 518-5596 Map

Mailing address

5432 Northcrest Ln Apt 3
Cincinnati, OH 45247-6415

Specialties and licenses

Taxonomy	Code	License
Peer Specialist Primary	175T00000X	None listed
Case Management Agency	251B00000X	None listed
Community/Behavioral Health Agency	251S00000X	None listed

Peer Specialist: Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority.

3 other providers at this address

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About NPI 1689480352

The Open Table Cincy's National Provider Identifier is 1689480352, issued on Dec 9, 2024. The primary taxonomy on file is Peer Specialist (175T00000X), and the practice location is in Cincinnati, OH. The record was last updated on Jan 14, 2026.