Healthcare Provider Details

I. General information

NPI: 1760312706
Provider Name (Legal Business Name): MORIAH PROMISE CRAVER
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/21/2026
Last Update Date: 05/21/2026
Certification Date: 05/21/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2052 PRINCETON RD
FAIRFIELD TOWNSHIP OH
45011-4746
US

IV. Provider business mailing address

1020 SYMMES RD
FAIRFIELD OH
45014-1844
US

V. Phone/Fax

Practice location:
  • Phone: 513-863-6383
  • Fax: 513-863-9882
Mailing address:
  • Phone: 513-896-8300
  • Fax: 513-883-1546

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code171M00000X
TaxonomyCase Manager/Care Coordinator
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: