MEDICARE: CARLA CHERISE DARNELL

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
1	171M00000X	Case Manager/Care Coordinator
2	101Y00000X	Counselor	183591	OH
3	175T00000X	Peer Specialist	APS.004314	OH

General Provider Information

NPI Number	:	1730896275
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	CARLA CHERISE DARNELL

Provider Business Mailing Address
First Line	:	801 EVANS ST STE 104
Second Line	:
City	:	CINCINNATI
State	:	OH
Zip	:	45204-2075
Country	:	US
Telephone Number	:	513-222-5369
Fax Number	:

Provider Business Practice Location Address
First Line	:	4940 CHAMBERSBURG RD
Second Line	:
City	:	DAYTON
State	:	OH
Zip	:	45424-3619
Country	:	US
Telephone Number	:	937-310-1269
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	11/03/2022
Last Update Date	:	12/08/2025

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Directions to “ CARLA CHERISE DARNELL ” Practice Location

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