SHANA RUTH KOSLOW NPI 1740705896

NPI Information

NPI: 1740705896
Provider Name: SHANA RUTH KOSLOW
Classification: Counselor - 101YA0400X
Entity Type: Individual

Specialization: Addiction (Substance Use Disorder)

Address:
160 N BREIEL BLVD
MIDDLETOWN, OH
ZIP 45042
Phone: (513) 941-4999
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Shana Ruth Koslow is an addiction (substance use disorder) counselor in Middletown, OH. Shana Ruth Koslow NPI is 1740705896. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

160 N BREIEL BLVD
MIDDLETOWN, OH
ZIP 45042-806
Phone: (513) 941-4999
Fax: (513) 694-0168

The enumeration date for this NPI number is 8/10/2017 and was last updated on 5/9/2023.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	101YA0400X	Counselor	Addiction (Substance Use Disorder)	LCDCIII.161718	OHIO	No
2	101YA0400X	Counselor	Addiction (Substance Use Disorder)	CDCA.111482	OHIO	No
3	101YM0800X	Counselor	Mental Health	C.2203883-TRNE	OHIO	No
4	101YP2500X	Counselor	Professional	C.2305052	OHIO	No
5	101YA0400X	Counselor	Addiction (Substance Use Disorder)	LICDC.162310	OHIO	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	0267211	MEDICAID	OHIO

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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