MISS LARITHA ANNE ETHRIDGE NPI 1215443254

NPI Information

NPI: 1215443254
Provider Name: MISS LARITHA ANNE ETHRIDGE
Classification: Counselor - 101YA0400X
Entity Type: Individual

Specialization: Addiction (Substance Use Disorder)

Address:
2005 ASHLAND AVE
TOLEDO, OH
ZIP 43620
Phone: (419) 841-7701
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MISS Laritha Anne Ethridge is an addiction (substance use disorder) counselor in Toledo, OH. MISS Laritha Anne Ethridge NPI is 1215443254. 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:

2005 ASHLAND AVE
TOLEDO, OH
ZIP 43620-703
Phone: (419) 841-7701

The enumeration date for this NPI number is 12/28/2017 and was last updated on 9/20/2022.

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	106S00000X	Behavior Technician				No
2	171M00000X	Case Manager/Care Coordinator				No
3	101YA0400X	Counselor	Addiction (Substance Use Disorder)	CDA.178652	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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