Healthcare Provider Details

I. General information

NPI: 1053137075
Provider Name (Legal Business Name): MILISSA MAE-RITCHEY SULLINGER CPRS, CDCA
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 11/25/2024
Last Update Date: 10/17/2025
Certification Date: 10/17/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1502 CANTON RD
AKRON OH
44312-4043
US

IV. Provider business mailing address

1150 DAYTON ST
AKRON OH
44310-1113
US

V. Phone/Fax

Practice location:
  • Phone: 234-376-0500
  • Fax: 234-297-4313
Mailing address:
  • Phone: 216-501-2684
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YA0400X
TaxonomyAddiction (Substance Use Disorder) Counselor
License NumberCDCA.189581
License Number StateOH
# 2
Primary TaxonomyN
Taxonomy Code175T00000X
TaxonomyPeer Specialist
License NumberAPS.002853
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: