Mia Akram

Individual provider Active NPI Addiction (Substance Use Disorder) Counselor · Springfield, OH

NPI 1558072389 · NPPES record last updated Dec 13, 2022

Key facts

NPI
1558072389
Entity type
Individual (NPI type 1)
Primary specialty
Addiction (Substance Use Disorder) Counselor 101YA0400X
License
CDCA.182845 (OH)
Practice address
2317 E Home Rd
Springfield, OH 45503-2520
Phone
(937) 390-8060
NPI assigned
Dec 13, 2022
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

LicenseStateTypeSpecialty
CDCA.182845OHMDAddiction (Substance Use Disorder) Counselor

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X CDCA.182845 OH Yes

Addresses

Primary practice location

2317 E Home Rd
Springfield, OH 45503-2520

Mailing address

4008 Sintz Rd
Springfield, OH 45504-3810
Phone (937) 536-7091

Electronic endpoints

TypeEndpointUseAffiliation
Direct Messaging Address makram@ethancrossing.com Direct

Other providers in Springfield, OH

All providers in Springfield, OH · Addiction (Substance Use Disorder) Counselor in Ohio

Sources for this page

Verify at the official NPI Registry.