Healthcare Provider Details

I. General information

NPI: 1548394745
Provider Name (Legal Business Name): KARA GUINN MORTON CI
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: KARA CHAMBLESS CI

II. Dates (important events)

Enumeration Date: 03/16/2007
Last Update Date: 02/14/2024
Certification Date: 02/14/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2359 KNOLLWOOD AVE
YOUNGSTOWN OH
44514-1525
US

IV. Provider business mailing address

2359 KNOLLWOOD AVE
YOUNGSTOWN OH
44514-1525
US

V. Phone/Fax

Practice location:
  • Phone: 216-260-1405
  • Fax: 330-632-8823
Mailing address:
  • Phone: 216-260-1405
  • Fax: 330-632-8823

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code101YA0400X
TaxonomyAddiction (Substance Use Disorder) Counselor
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code172V00000X
TaxonomyCommunity Health Worker
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: