Healthcare Provider Details

I. General information

NPI: 1841878337
Provider Name (Legal Business Name): KYLEE NICOLE STEINBINDER CDCA
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/29/2021
Last Update Date: 03/29/2021
Certification Date: 03/29/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1515 E MARKET ST
WARREN OH
44483-6641
US

IV. Provider business mailing address

12481 UNITY RD
NEW SPRINGFIELD OH
44443-9786
US

V. Phone/Fax

Practice location:
  • Phone: 330-271-8486
  • Fax:
Mailing address:
  • Phone: 724-683-1607
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YA0400X
TaxonomyAddiction (Substance Use Disorder) Counselor
License NumberCDCA.172911
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: