Healthcare Provider Details

I. General information

NPI: 1326535766
Provider Name (Legal Business Name): LEAH MARISSA BUDIN CDCA
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: LEAH MARISSA DAVIS

II. Dates (important events)

Enumeration Date: 04/20/2018
Last Update Date: 11/13/2025
Certification Date: 11/13/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

909 SYCAMORE ST
CINCINNATI OH
45202-1305
US

IV. Provider business mailing address

4600 MONTGOMERY RD STE 400
CINCINNATI OH
45212-2600
US

V. Phone/Fax

Practice location:
  • Phone: 513-558-9067
  • Fax: 513-558-3880
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YA0400X
TaxonomyAddiction (Substance Use Disorder) Counselor
License NumberCDCA.165558
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: