NICOLE STANLEY CDCA QMHSBA CMS BA NPI 1629611538

NPI Information

NPI: 1629611538
Provider Name: NICOLE STANLEY, CDCA QMHSBA CMS BA
Classification: Counselor - 101YA0400X
Entity Type: Individual

Specialization: Addiction (Substance Use Disorder)

Address:
2173 N RIDGE RD E STE E
LORAIN, OH
ZIP 44055
Phone: (440) 260-8300
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Nicole Stanley, CDCA QMHSBA CMS BA is an addiction (substance use disorder) counselor in Lorain, OH. Nicole Stanley, CDCA QMHSBA CMS BA NPI is 1629611538. 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:

2173 N RIDGE RD E STE E
LORAIN, OH
ZIP 44055-400
Phone: (440) 260-8300

The enumeration date for this NPI number is 10/23/2019 and was last updated on 2/21/2020.

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
1	171M00000X	Case Manager/Care Coordinator			OHIO	No
2	172V00000X	Community Health Worker			OHIO	No
3	101YA0400X	Counselor	Addiction (Substance Use Disorder)	CDCA170240	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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