Healthcare Provider Details

I. General information

NPI: 1982543328
Provider Name (Legal Business Name): PAMELA HELTON CDCA
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 03/27/2026
Last Update Date: 03/27/2026
Certification Date: 03/27/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7373 DAYTON SPRINGFIELD RD
ENON OH
45323-1462
US

IV. Provider business mailing address

7373 DAYTON SPRINGFIELD RD
ENON OH
45323-1462
US

V. Phone/Fax

Practice location:
  • Phone: 937-605-3416
  • Fax: 859-859-8876
Mailing address:
  • Phone: 937-605-3416
  • Fax: 859-859-8876

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YA0400X
TaxonomyAddiction (Substance Use Disorder) Counselor
License NumberCDCAPRE.195580
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: