STEPHANIE L BARDASH (NPI# 1770040115) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1770040115 |
| Entity Type | Individual |
| Full Name | STEPHANIE L BARDASH |
| Credential | CDCA |
| Practice Address |
3132 Belmont Ave Youngstown OH 44505-1838 |
| Mailing Address |
726 Wick Ave Youngstown OH 44505-2827 |
| Practice Telephone | 3307479551 |
| Practice Fax Number | 3307593149 |
| Mailing Telephone | 3307479551 |
| Mailing Fax Number | 3307593149 |
| Enumeration Date | 2019-02-21 |
| Last Update Date | 2019-02-21 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
CDCA.168485 | OH | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OH | LICENSE | 168485 | 01 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1032 E Market St, Warren, OH 444836602 | 8777223303 | 3307593149 |
| Street Address |
3132 BELMONT AVE |
| City | YOUNGSTOWN |
| State | OH |
| Zip Code | 44505-1838 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306813324 | Chi Sown Ko | Dermatology | 3132 Belmont Ave, Youngstown, OH 44505-1838 | 2006-03-08 |
| 1285174953 | Ohio North East Health Systems, Inc. | Counselor | 3132 Belmont Ave, Youngstown, OH 44505-1838 | 2017-03-01 |
| 1558801225 | Ohio North East Health Systems, Inc. | Counselor | 3132 Belmont Ave, Youngstown, OH 44505-1838 | 2017-03-01 |
| 1154621258 | Chi S Ko M D Inc | Clinic/Center | 3132 Belmont Ave, Youngstown, OH 44505-1838 | 2010-10-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558924365 | Kristina Terlecki | Massage Therapist | 32 Goldie Rd., Youngstown, OH 44505 | 2019-04-17 |
| 1669937108 | Melissa Ann Brian | Registered Nurse | 615 Churchill - Hubbard Rd., Youngstown, OH 44505 | 2019-02-08 |
| 1902376742 | Shamara Golden | Specialist/Technologist | 3415 5th Ave, Youngstown, OH 44505 | 2018-12-04 |
| 1366912933 | Valor Recovery Center | Substance Abuse Rehabilitation Facility | 45 North Canfield Niles Road, Youngstown, OH 44505 | 2018-11-27 |
| 1104333798 | Sherrell Lynn Moorer | Case Manager/Care Coordinator | 3164 Eastview Drive, Youngstown, OH 44505 | 2018-01-04 |
| 1154875888 | Aba Therapy Solutions | Community/Behavioral Health | 125 Churchill-hubbard Rd, Youngstown, OH 44505 | 2016-08-10 |
| 1871721530 | Wal-mart Stores, Inc. | Eyewear Supplier (Equipment, not the service) | 200 Goldie Road, Youngstown, OH 44505 | 2009-07-01 |
| 1538254149 | Robert F. Accordino | Physical Therapist | 4531 Belmont Ave., Suite 5, Youngstown, OH 44505 | 2006-10-03 |
| 1659465862 | Union Eyes Optical, Inc | Technician/Technologist | 229 Churchill-hubbard Rd, Youngstown, OH 44505 | 2006-10-03 |
| 1124080239 | Giovanna Vinci-khoury | Specialist | 4970 Belmont Ave, Youngstown, OH 44505 | 2006-04-04 |
| Find all providers in zip 44505 | ||||
| Taxonomy Code | 101YA0400X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Addiction (Substance Use Disorder) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669071023 | Tyra S Rice | Counselor | 25 W Rayen Ave Apt 503, Youngstown, OH 44503-1022 | 2020-10-18 |
| 1538771282 | Faith Marie Palmer | Counselor | 2703 Mahoning Ave Ste 105, Youngstown, OH 44509-2337 | 2020-08-22 |
| 1245895119 | Clinton Lynch | Counselor | 506 E Liberty St, Youngstown, OH 44505-1544 | 2019-05-07 |
| 1760047187 | Norman L Carter | Counselor | 108 W Indianola Ave, Youngstown, OH 44507-1459 | 2019-05-02 |
| 1043791825 | Jessica Marie Glandorf | Counselor | 1185 Townsend Ave, Youngstown, OH 44505-1267 | 2018-08-28 |
| 1194204933 | Nicole Marie Campana | Counselor | 2217 Lyon Blvd, Youngstown, OH 44514-1568 | 2018-08-13 |
| 1417442112 | Melanie J King | Counselor | 555 S Hazelwood Ave, Youngstown, OH 44509-2231 | 2018-06-25 |
| 1922590173 | Bonnie Warrington | Counselor | 344 Broadview Ave, Youngstown, OH 44509-1149 | 2018-06-04 |
| 1013418508 | Angel Olivia Pixley | Counselor | 881 Rose St, Youngstown, OH 44506-1431 | 2018-02-21 |
| 1184142432 | Felicia Briggs | Counselor | 2151 Rush Blvd., Youngstown, OH 44507 | 2017-09-07 |
| Find all providers in YOUNGSTOWN | ||||
| City | YOUNGSTOWN |
| Zip Code | 44505 |
Please comment or provide details below to improve the information on STEPHANIE L BARDASH.
| 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.