Olivia J Bishop
Individual provider Active NPI Addiction (Substance Use Disorder) Counselor · Eaton, OH
NPI 1093205494 · NPPES record last updated May 11, 2018
Key facts
- NPI
- 1093205494
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Addiction (Substance Use Disorder) Counselor 101YA0400X
- License
- 165219 (OH)
- Practice address
- 1881 US Highway 127 N
Eaton, OH 45320-9284 - Phone
- (513) 896-3444
- NPI assigned
- May 11, 2018
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 165219 | OH | MD | Addiction (Substance Use Disorder) Counselor |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | 165219 | OH | Yes |
Addresses
Primary practice location
1881 US Highway 127 N
Eaton, OH 45320-9284
Mailing address
1020 Symmes Rd
Fairfield, OH 45014-1844
Phone (513) 868-7654
Other providers in Eaton, OH
- James Benson
- Dreama Bergen
- Jody Faye Betscher
- Megan Elizabeth Billing
- Bio-Medical Applications of Ohio, Inc.
- Jay Blazer
- Megan Bolander
- Duane Allen Boomershine
- Jessica Marie Bower
- Aaron Boyd
All providers in Eaton, OH · Addiction (Substance Use Disorder) Counselor in Ohio
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 11, 2018. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.