RODESCU MACKLIN (NPI# 1124532635) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
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 |
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 |
Street Address |
200 DARUMA PARKWAY |
City | MORAINE |
State | OH |
Zip Code | 45439 |
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 Code | 101YA0400X |
Grouping | Behavioral Health & Social Service Providers |
Classification | Counselor |
Specialization | Addiction (Substance Use Disorder) |
Definition to come... |
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 |
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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.