=====================================================
General NPI Number Information
=====================================================
NPI Number | 1982543328
-----------------------------------------------------
Entity Type | Individual
-----------------------------------------------------
Provider Name | PAMELA HELTON CDCA
-----------------------------------------------------
Gender | Female
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 03/27/2026
-----------------------------------------------------
Last Update Date | 03/27/2026
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 7373 DAYTON SPRINGFIELD RD
-----------------------------------------------------
City | ENON
-----------------------------------------------------
State | OH
-----------------------------------------------------
Zip | 45323-1462
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 937-605-3416
-----------------------------------------------------
Fax | 859-859-8876
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 7373 DAYTON SPRINGFIELD RD
-----------------------------------------------------
City | ENON
-----------------------------------------------------
State | OH
-----------------------------------------------------
Zip | 45323-1462
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 937-605-3416
-----------------------------------------------------
Fax | 859-859-8876
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position |
-----------------------------------------------------
Name |
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone |
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 101YA0400X
-----------------------------------------------------
Taxonomy Name | Addiction (Substance Use Disorder) Counselor
-----------------------------------------------------
License Number | CDCAPRE.195580
-----------------------------------------------------
License Number State | OH
-----------------------------------------------------