Healthcare Provider Details

I. General information

NPI: 1548141765
Provider Name (Legal Business Name): AMIE SECKA
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/12/2025
Last Update Date: 01/13/2026
Certification Date: 01/13/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5460 CLEVELAND AVE
COLUMBUS OH
43231-4074
US

IV. Provider business mailing address

4595 SAMOYED DR APT 101
CANAL WINCHESTER OH
43110-3573
US

V. Phone/Fax

Practice location:
  • Phone: 614-568-8236
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YA0400X
TaxonomyAddiction (Substance Use Disorder) Counselor
License NumberCDCA194266
License Number StateOH
# 2
Primary TaxonomyN
Taxonomy Code171M00000X
TaxonomyCase Manager/Care Coordinator
License Number
License Number StateNULL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: