STEPHANIE LYNN CANTERBURY CADC NPI 1114417334

NPI Information

  • NPI: 1114417334
  • Provider Name: STEPHANIE LYNN CANTERBURY, CADC
  • Classification: Counselor - 101YA0400X
  • Specialization: Addiction (Substance Use Disorder)
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 1071 TONG HOLLOW RD
    BAINBRIDGE, OH
    ZIP 45612
  • Phone: (740) 634-3094

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NPI Details

Stephanie Lynn Canterbury, CADC is an addiction (substance use disorder) counselor in Bainbridge, OH. Stephanie Lynn Canterbury, CADC NPI is 1114417334. 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:

1071 TONG HOLLOW RD
BAINBRIDGE, OH
ZIP 45612-500
Phone: (740) 634-3094

The NPI 1114417334 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment.

The enumeration date for this NPI number is 5/14/2018 and was last updated on 1/7/2020.

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
1101YA0400XCounselorAddiction (Substance Use Disorder)2-01594MICHIGANYes
2101YA0400XCounselorAddiction (Substance Use Disorder)LCDCIII.161537OHIONo
3171M00000XCase Manager/Care CoordinatorOHIONo

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: 3/30/2025

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