Healthcare Provider Details

I. General information

NPI: 1760157143
Provider Name (Legal Business Name): CHEYANNE R HEMBREE CDCA, LSW
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: CHEYANNE R MARTIN CDCA, LSW

II. Dates (important events)

Enumeration Date: 08/09/2021
Last Update Date: 07/10/2025
Certification Date: 07/10/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

515 DAYTON ST
HAMILTON OH
45011-3455
US

IV. Provider business mailing address

1020 SYMMES RD
FAIRFIELD OH
45014-1844
US

V. Phone/Fax

Practice location:
  • Phone: 513-868-7654
  • Fax: 513-737-0026
Mailing address:
  • Phone: 513-896-8300
  • Fax: 866-460-2997

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code101YA0400X
TaxonomyAddiction (Substance Use Disorder) Counselor
License NumberCDCA.180343
License Number StateOH
# 2
Primary TaxonomyN
Taxonomy Code171M00000X
TaxonomyCase Manager/Care Coordinator
License Number
License Number State
# 3
Primary TaxonomyY
Taxonomy Code104100000X
TaxonomySocial Worker
License NumberS.2309577
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: