Healthcare Provider Details

I. General information

NPI: 1215442009
Provider Name (Legal Business Name): ANTIONE SPRIGGS
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 12/03/2017
Last Update Date: 08/12/2026
Certification Date: 08/12/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1329 E KEMPER RD STE 4220B
SPRINGDALE OH
45246-5100
US

IV. Provider business mailing address

1612 CHASE AVE STE E
CINCINNATI OH
45223-2204
US

V. Phone/Fax

Practice location:
  • Phone: 513-790-4367
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code104100000X
TaxonomySocial Worker
License NumberS.2613672
License Number StateOH
# 2
Primary TaxonomyN
Taxonomy Code101YA0400X
TaxonomyAddiction (Substance Use Disorder) Counselor
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: