Healthcare Provider Details

I. General information

NPI: 1245162452
Provider Name (Legal Business Name): PAIGE MCKINSEY SCALF
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/01/2026
Last Update Date: 06/01/2026
Certification Date: 06/01/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8978 UNITED LN # 102
ATHENS OH
45701-3668
US

IV. Provider business mailing address

1 POMEROY RD APT B2
ATHENS OH
45701-8501
US

V. Phone/Fax

Practice location:
  • Phone: 740-274-4246
  • Fax:
Mailing address:
  • Phone: 330-400-6407
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YA0400X
TaxonomyAddiction (Substance Use Disorder) Counselor
License NumberCDCAPRE.195504
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: