Healthcare Provider Details

I. General information

NPI: 1376456541
Provider Name (Legal Business Name): KARTER HOUSE
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/28/2026
Last Update Date: 09/28/2026
Certification Date: 09/27/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2114 SAINT LEO PL
CINCINNATI OH
45211-8120
US

IV. Provider business mailing address

2275 SCHOEDINGER AVE
CINCINNATI OH
45214-1349
US

V. Phone/Fax

Practice location:
  • Phone: 614-704-4135
  • Fax:
Mailing address:
  • Phone: 614-704-4135
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

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

VIII. Authorized Official

Name: MR. RICKEY TERELLE LACKEY JR.
Title or Position: CEO
Credential:
Phone: 614-704-4135