IndividualActive
Bernadine Ellis
NPI 1336628239 · Addiction (Substance Use Disorder) Counselor · Dover, OH
Provider details
- NPI number
- 1336628239
- Entity type
- Individual
- Primary specialty
- Addiction (Substance Use Disorder) CounselorBehavioral Health & Social Service Providers
- Sex
- Female
- Sole proprietor
- No
- License
- 150171 (OH)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Practice location
115 S Wooster Ave
Dover, OH 44622-1944
Phone: (833) 510-4357
Fax: (866) 460-2997
Approximate (ZIP-level) locationGet directions
Mailing address
615 Elsinore Pl
Cincinnati, OH 45202-1459
Registry dates
- Enumerated
- 2018-08-10
- Last updated
- 2022-08-29
- Certified
- 2022-08-29
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.