BROOKE TIMM CDCA NPI 1477054955

NPI Information

NPI: 1477054955
Provider Name: BROOKE TIMM, CDCA
Classification: Counselor - 101YA0400X
Entity Type: Individual

Specialization: Addiction (Substance Use Disorder)

Address:
45 N CANFIELD NILES RD
YOUNGSTOWN, OH
ZIP 44515
Phone: (330) 642-8242
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Brooke Timm, CDCA is an addiction (substance use disorder) counselor in Youngstown, OH. Brooke Timm, CDCA NPI is 1477054955. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

45 N CANFIELD NILES RD
YOUNGSTOWN, OH
ZIP 44515-343
Phone: (330) 642-8242
Fax: (330) 642-8242

The enumeration date for this NPI number is 2/21/2018 and was last updated on 3/23/2023.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	324500000X	Substance Abuse Rehabilitation Facility		165626	OHIO	No
2	324500000X	Substance Abuse Rehabilitation Facility		168898	OHIO	No
3	101YA0400X	Counselor	Addiction (Substance Use Disorder)	168898	OHIO	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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