RODESCU MACKLIN


Address: 200 Daruma Parkway, Moraine, OH 45439
Phone: 9372675098

RODESCU MACKLIN (NPI# 1124532635) 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) 1124532635
Entity Type Individual
Full Name RODESCU MACKLIN
Credential LICDC
Practice Address 200 Daruma Parkway
Moraine
OH 45439
Mailing Address 5133 Kingsford Dr
Trotwood
OH 45426-1925
Practice Telephone 9372675098
Practice Fax Number 9374965274
Mailing Telephone 9375725395
Enumeration Date 2017-11-20
Last Update Date 2018-06-16
Gender Code M
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 101YA0400X Counselor
Specialization: Addiction (Substance Use Disorder)
LICDC-161440 OH Behavioral Health & Social Service Providers

Office Location

Street Address 200 DARUMA PARKWAY
City MORAINE
State OH
Zip Code 45439

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1104455260 Joseph Michael Meacham Counselor 3059 Kettering Blvd., Moraine, OH 45439 2020-04-02
1932673597 Sabrina M Nichols Behavior Technician 5290 Cobblegate Drive, Moraine, OH 45439 2019-01-17
1013406040 Chevelle Antionette Bennett Licensed Practical Nurse 4964 Springboco Pk, Mocaine, OH 45439 2018-05-04
1205332418 Vincent A Mcbride Case Manager/Care Coordinator 3350 South Kettering Blvd, Moraine, OH 45439 2018-04-05
1194248872 Blu Diamond Home Care LLC Home Health 3481 Office Park Drive, Suite 12d, Dayton, OH 45439 2017-07-25
1003342692 Chadonn Cummings Social Worker 3905 Kettering Blvd, Moriane, OH 45439 2017-05-03
1962959098 Jessica Woody Counselor 3011kettering Blvd, Suite 311, Moraine, OH 45439 2016-09-07
1427409309 Aida E Scanlon Physician Assistant 3445 S Dixie Dr, Moraine, OH 45439 2016-06-22
1881048908 Judith Crum Counselor 4983 Joyce Dr., Dayton, OH 45439 2016-04-14
1114384310 Joseph Premanandan Internal Medicine 3033 Kettering Boulevard, Suite 100, Moraine, OH 45439 2016-01-20
Find all providers in zip 45439

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
1447809603 Kaela N Miller Counselor 3095 Kettering Blvd, Moraine, OH 45439 2019-09-10
1013572676 Laneisha Tiant Gardner Counselor 200 Daruma Pkwy, Moraine, OH 45439-7909 2019-05-08
1093200594 Terrance Anthony Smith Counselor 200 Daruma Pkwy, Moraine, OH 45439-7909 2018-06-27
1013406602 Janice Elaine Sebree Counselor 200 Daruma Pkwy, Moraine, OH 45439-7909 2018-05-09
1568963718 Karen Desha Tevis Counselor 200 Daruma Pkwy, Moraine, OH 45439-7909 2018-02-23
1093216186 Rhonda Renee Allen Counselor 200 Daruma Pkwy, Moraine, OH 45439-7909 2018-02-23
1508366709 Latescha Tanae Allen Counselor 200 Daruma Pkwy, Moraine, OH 45439-7909 2018-02-15
1770083982 Alton Keith Daugherty Counselor 200 Daruma Pkwy, Moraine, OH 45439-7909 2018-02-14
1710487988 Robert Erving Crimes II Counselor 200 Daruma Pkwy, Moraine, OH 45439-7909 2018-02-14
1285134601 Joseph Samuel Coleman Jr. Counselor 200 Daruma Pkwy, Moraine, OH 45439-7909 2018-02-13
Find all providers in MORAINE

Competitor

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City MORAINE
Zip Code 45439

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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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