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NPI Code Detail

MEDICARE: AMIE SECKA

MEDICARE: AMIE SECKA
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
1171M00000XCase Manager/Care Coordinator
2101YA0400XAddiction (Substance Use Disorder) CounselorCDCA194266OH

General Provider Information

NPI Number : 1548141765
Entity Type Code : Individual
Provider Name (Legal Business Name) : AMIE SECKA
Provider Business Mailing Address
First Line : 4595 SAMOYED DR APT 101
Second Line :
City : CANAL WINCHESTER
State : OH
Zip : 43110-3573
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 5460 CLEVELAND AVE
Second Line :
City : COLUMBUS
State : OH
Zip : 43231-4074
Country : US
Telephone Number : 614-568-8236
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/12/2025
Last Update Date : 01/13/2026

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Directions to “ AMIE SECKA ” Practice Location

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