MEDICARE: HEIDI ALLOWAY CDCA, CPRS

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	101YA0400X	Addiction (Substance Use Disorder) Counselor	CDCA.192039	OH
2	175T00000X	Peer Specialist

General Provider Information

NPI Number	:	1851136626
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	HEIDI ALLOWAY CDCA, CPRS

Provider Business Mailing Address
First Line	:	875 E COLUMBUS ST
Second Line	:
City	:	KENTON
State	:	OH
Zip	:	43326-2601
Country	:	US
Telephone Number	:	937-642-9555
Fax Number	:

Provider Business Practice Location Address
First Line	:	875 E COLUMBUS ST
Second Line	:
City	:	KENTON
State	:	OH
Zip	:	43326-2601
Country	:	US
Telephone Number	:	419-788-4653
Fax Number	:

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

Provider Enumeration Date	:	06/25/2024
Last Update Date	:	09/12/2025

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