Healthcare Provider Details

I. General information

NPI: 1063284677
Provider Name (Legal Business Name): CAROLINE CURTIS MS
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/26/2023
Last Update Date: 05/08/2026
Certification Date: 05/08/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9403 KENWOOD RD STE C212
BLUE ASH OH
45242-6875
US

IV. Provider business mailing address

9403 KENWOOD RD STE C212
BLUE ASH OH
45242-6875
US

V. Phone/Fax

Practice location:
  • Phone: 513-792-1272
  • Fax: 513-891-4449
Mailing address:
  • Phone: 513-792-1272
  • Fax: 513-891-4449

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YA0400X
TaxonomyAddiction (Substance Use Disorder) Counselor
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: