Healthcare Provider Details
I. General information
NPI: 1710514104
Provider Name (Legal Business Name): HANNAH SCHILLING CDCA II, PRS, OCPSA
Entity Type: Individual
Gender: Female
Sole Proprietor: Y
II. Dates (important events)
Enumeration Date: 03/25/2020
Last Update Date: 01/07/2025
Certification Date: 01/07/2025
Deactivation Date:
Reactivation Date:
III. Provider practice location address
352 GLEN OAKS DR
CINCINNATI OH
45238-5764
US
IV. Provider business mailing address
2828 VERNON PL
CINCINNATI OH
45219-2414
US
V. Phone/Fax
- Phone: 513-999-3866
- Fax:
- Phone: 513-544-5323
- Fax: 513-281-7884
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 101YA0400X |
| Taxonomy | Addiction (Substance Use Disorder) Counselor |
| License Number | CDCA.170660 |
| License Number State | OH |
| # 2 | |
| Primary Taxonomy | N |
| Taxonomy Code | 172V00000X |
| Taxonomy | Community Health Worker |
| License Number | CHW.002197 |
| License Number State | OH |
| # 3 | |
| Primary Taxonomy | N |
| Taxonomy Code | 175T00000X |
| Taxonomy | Peer Specialist |
| License Number | APS.001056 |
| License Number State | OH |
| # 4 | |
| Primary Taxonomy | N |
| Taxonomy Code | 405300000X |
| Taxonomy | Prevention Professional |
| License Number | OCPSA.161710 |
| License Number State | OH |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: