Healthcare Provider Details

I. General information

NPI: 1881453553
Provider Name (Legal Business Name): NASIMA AKHTER
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 03/15/2024
Last Update Date: 12/09/2025
Certification Date: 12/09/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3214 PROSPECT AVE E
CLEVELAND OH
44115-2614
US

IV. Provider business mailing address

3214 PROSPECT AVE E
CLEVELAND OH
44115-2614
US

V. Phone/Fax

Practice location:
  • Phone: 216-910-9015
  • Fax:
Mailing address:
  • Phone: 216-910-9015
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code101YA0400X
TaxonomyAddiction (Substance Use Disorder) Counselor
License NumberCDCA.194267
License Number StateOH
# 2
Primary TaxonomyY
Taxonomy Code175T00000X
TaxonomyPeer Specialist
License NumberAPS.004949
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: