Healthcare Provider Details

I. General information

NPI: 1336853241
Provider Name (Legal Business Name): HOLLY CIPRIANI
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 01/06/2023
Last Update Date: 07/23/2025
Certification Date: 07/23/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5648 MAIN ST
SYLVANIA OH
43560-3940
US

IV. Provider business mailing address

5648 MAIN ST
SYLVANIA OH
43560-3940
US

V. Phone/Fax

Practice location:
  • Phone: 419-345-2299
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License NumberC.2305672
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: