Healthcare Provider Details

I. General information

NPI: 1598644544
Provider Name (Legal Business Name): OLIVIA CIMINERO CASE MANAGER
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/02/2025
Last Update Date: 07/22/2026
Certification Date: 07/22/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4410 BOARDMAN CANFIELD RD
CANFIELD OH
44406-9031
US

IV. Provider business mailing address

1396 SAINT ALBANS DR
YOUNGSTOWN OH
44511-3304
US

V. Phone/Fax

Practice location:
  • Phone: 330-507-3893
  • Fax:
Mailing address:
  • Phone: 330-507-3893
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: