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NPI Code Detail

MEDICARE: NICOLE ELIZABETH DARCY CDCA

MEDICARE: NICOLE ELIZABETH DARCY 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) CounselorCDCA.175067OH
2175T00000XPeer SpecialistAPS.003339OH
3171M00000XCase Manager/Care Coordinator

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1659919454
Entity Type Code : Individual
Provider Name (Legal Business Name) : NICOLE ELIZABETH DARCY CDCA
Provider Business Mailing Address
First Line : 2397 STATE ROUTE 54
Second Line :
City : URBANA
State : OH
Zip : 43078-9215
Country : US
Telephone Number : 937-626-5181
Fax Number :
Provider Business Practice Location Address
First Line : 765 N DETROIT ST
Second Line :
City : XENIA
State : OH
Zip : 45385-1960
Country : US
Telephone Number : 937-505-1877
Fax Number : 800-480-7579
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/12/2019
Last Update Date : 11/18/2025

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Directions to “ NICOLE ELIZABETH DARCY CDCA” Practice Location

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