MEDICARE: ZOE FISCUS DOSS CDCA, QMHS

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	171M00000X	Case Manager/Care Coordinator
2	101YA0400X	Addiction (Substance Use Disorder) Counselor

General Provider Information

NPI Number	:	1518457795
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ZOE FISCUS DOSS CDCA, QMHS

Provider Business Mailing Address
First Line	:	1071 TONG HOLLOW RD
Second Line	:
City	:	BAINBRIDGE
State	:	OH
Zip	:	45612-1500
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	4 CECELIA DR
Second Line	:
City	:	AMELIA
State	:	OH
Zip	:	45102-1906
Country	:	US
Telephone Number	:	513-752-6170
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/14/2018
Last Update Date	:	10/03/2025

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