NPIMap

Organization Active NPI

Eliminating Barriers & Conquering Goals LLC

  • Substance Abuse Rehabilitation Facility
  • Dayton, OH
National Provider Identifier
1598327405
Registry record updated Jul 1, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Substance Abuse Rehabilitation FacilityTaxonomy code 324500000X
Legal business name
ELIMINATING BARRIERS & CONQUERING GOALS LLC
Practice address
4825 Hassan Cir Apt 2
Dayton, OH 45432-1315
Phone
(937) 815-9035
NPI assigned
Jul 1, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 1, 2019

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Ms. Judith Michele Fox-Williams, LCDC II, OCPS
Title
Chemical Dependency Counselor
Phone
(937) 815-9035

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Substance Abuse Rehabilitation Facility 324500000X Primary

Addresses

Primary practice location

4825 Hassan Cir Apt 2
Dayton, OH 45432-1315

Mailing address

4825 Hassan Cir Apt 2
Dayton, OH 45432-1315
Phone (937) 815-9035

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1561939200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1561939200000",
    "number": "1598327405",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4825 HASSAN CIR APT 2",
            "city": "DAYTON",
            "state": "OH",
            "postal_code": "454321315",
            "telephone_number": "937-815-9035"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4825 HASSAN CIR APT 2",
            "city": "DAYTON",
            "state": "OH",
            "postal_code": "454321315",
            "telephone_number": "937-815-9035"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELIMINATING BARRIERS & CONQUERING GOALS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-07-01",
        "last_updated": "2019-07-01",
        "status": "A",
        "authorized_official_last_name": "FOX-WILLIAMS",
        "authorized_official_first_name": "JUDITH",
        "authorized_official_middle_name": "MICHELE",
        "authorized_official_title_or_position": "CHEMICAL DEPENDENCY COUNSELOR",
        "authorized_official_telephone_number": "937-815-9035",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "LCDC II, OCPS"
    },
    "taxonomies": [
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dayton, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 1, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.