NICOLE MARIE CAMPANA


Address: 2217 Lyon Blvd, Youngstown, OH 44514-1568
Phone: 3306099606

NICOLE MARIE CAMPANA (NPI# 1194204933) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1194204933
Entity Type Individual
Full Name NICOLE MARIE CAMPANA
Practice Address 2217 Lyon Blvd
Youngstown
OH 44514-1568
Mailing Address 2151 Rush Blvd
Youngstown
OH 44507-1535
Practice Telephone 3306099606
Enumeration Date 2018-08-13
Last Update Date 2020-04-28
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 101YA0400X Counselor
Specialization: Addiction (Substance Use Disorder)
CDCA.164529 OH Behavioral Health & Social Service Providers
N 175T00000X Peer Specialist Other Service Providers

Office Location

Street Address 2217 LYON BLVD
City YOUNGSTOWN
State OH
Zip Code 44514-1568

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Taxonomy Information

Taxonomy Code 101YA0400X
Grouping Behavioral Health & Social Service Providers
Classification Counselor
Specialization Addiction (Substance Use Disorder)

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1669071023 Tyra S Rice Counselor 25 W Rayen Ave Apt 503, Youngstown, OH 44503-1022 2020-10-18
1538771282 Faith Marie Palmer Counselor 2703 Mahoning Ave Ste 105, Youngstown, OH 44509-2337 2020-08-22
1245895119 Clinton Lynch Counselor 506 E Liberty St, Youngstown, OH 44505-1544 2019-05-07
1760047187 Norman L Carter Counselor 108 W Indianola Ave, Youngstown, OH 44507-1459 2019-05-02
1043791825 Jessica Marie Glandorf Counselor 1185 Townsend Ave, Youngstown, OH 44505-1267 2018-08-28
1417442112 Melanie J King Counselor 555 S Hazelwood Ave, Youngstown, OH 44509-2231 2018-06-25
1922590173 Bonnie Warrington Counselor 344 Broadview Ave, Youngstown, OH 44509-1149 2018-06-04
1013418508 Angel Olivia Pixley Counselor 881 Rose St, Youngstown, OH 44506-1431 2018-02-21
1184142432 Felicia Briggs Counselor 2151 Rush Blvd., Youngstown, OH 44507 2017-09-07
1518498138 Pamela Sabol Counselor 5447 Lou Ida Boulevard, Youngstown, OH 44515-1122 2017-03-24
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Competitor

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City YOUNGSTOWN
Zip Code 44514

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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