Healthcare Provider Details

I. General information

NPI: 1659904142
Provider Name (Legal Business Name): JAMES E ARTIS II CDCA
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 02/13/2020
Last Update Date: 09/10/2026
Certification Date: 09/10/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7955 COUNTY ROAD 107 STE B
PROCTORVILLE OH
45669-9250
US

IV. Provider business mailing address

520 SOLIDA RD
SOUTH POINT OH
45680-9347
US

V. Phone/Fax

Practice location:
  • Phone: 740-523-0097
  • Fax: 740-523-0049
Mailing address:
  • Phone: 740-523-0097
  • Fax: 740-523-0049

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YA0400X
TaxonomyAddiction (Substance Use Disorder) Counselor
License NumberCDCA.175597
License Number StateOH
# 2
Primary TaxonomyN
Taxonomy Code171M00000X
TaxonomyCase Manager/Care Coordinator
License NumberCDCA.172215
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: