Healthcare Provider Details

I. General information

NPI: 1871406579
Provider Name (Legal Business Name): OLIVIA CARDINALE CDCA
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/24/2026
Last Update Date: 09/24/2026
Certification Date: 09/24/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

211 E GLENWOOD AVE
AKRON OH
44310-3837
US

IV. Provider business mailing address

885 E BUCHTEL AVE
AKRON OH
44305-2338
US

V. Phone/Fax

Practice location:
  • Phone: 330-996-2222
  • Fax: 330-996-2233
Mailing address:
  • Phone: 330-535-8116
  • Fax: 330-996-2233

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YA0400X
TaxonomyAddiction (Substance Use Disorder) Counselor
License NumberCDCAPRE.197232
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: