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General NPI Number Information
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NPI Number | 1376456541
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Entity Type | Organization
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Legal Business Name | KARTER HOUSE
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Dates
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Enumeration Date | 09/28/2026
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Last Update Date | 09/28/2026
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Provider Practice Location Address
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Address Line | 2114 SAINT LEO PL
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City | CINCINNATI
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State | OH
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Zip | 45211-8120
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Country | US
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Telephone | 614-704-4135
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Fax |
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Provider Business Mailing Address
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Address Line | 2275 SCHOEDINGER AVE
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City | CINCINNATI
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State | OH
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Zip | 45214-1349
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Country | US
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Telephone | 614-704-4135
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | MR. RICKEY TERELLE LACKEY JR.
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Credential |
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Telephone | 614-704-4135
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YA0400X
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Taxonomy Name | Addiction (Substance Use Disorder) Counselor
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License Number |
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License Number State | NULL
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