MEDICARE: ERIN DODDS

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	175T00000X	Peer Specialist	APS.005245	OH

General Provider Information

NPI Number	:	1801753744
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ERIN DODDS

Provider Business Mailing Address
First Line	:	140 E TOWN ST STE 1450
Second Line	:
City	:	COLUMBUS
State	:	OH
Zip	:	43215-6601
Country	:	US
Telephone Number	:	614-639-6590
Fax Number	:

Provider Business Practice Location Address
First Line	:	810 S CABLE RD
Second Line	:
City	:	LIMA
State	:	OH
Zip	:	45805-3468
Country	:	US
Telephone Number	:	567-387-0130
Fax Number	:

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

Provider Enumeration Date	:	01/05/2026
Last Update Date	:	01/05/2026

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