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NPI Code Detail

MEDICARE: MELINDA DANIELLE CAUDILL PRS, CDCA

MEDICARE: MELINDA DANIELLE CAUDILL PRS, CDCA
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1101YA0400XAddiction (Substance Use Disorder) Counselor195158OH

General Provider Information

NPI Number : 1649127424
Entity Type Code : Individual
Provider Name (Legal Business Name) : MELINDA DANIELLE CAUDILL PRS, CDCA
Provider Business Mailing Address
First Line : 106 MONTGOMERY AVE
Second Line :
City : FRANKLIN
State : OH
Zip : 45005-1334
Country : US
Telephone Number : 937-671-7137
Fax Number :
Provider Business Practice Location Address
First Line : 12115 SHERATON LN
Second Line :
City : CINCINNATI
State : OH
Zip : 45246-1613
Country : US
Telephone Number : 513-540-4750
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/11/2026
Last Update Date : 03/11/2026

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Directions to “ MELINDA DANIELLE CAUDILL PRS, CDCA” Practice Location

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