Organization
HER STORY, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ELAINA BRADLEY (EXECUTIVE DIRECTOR)
(937) 244-0308
Entity
Organization
Contact information
Practice address
616 N LIMESTONE ST, SPRINGFIELD, OH 45503-4175
(937) 505-3400
(937) 660-5656
Mailing address
PO BOX 212, XENIA, OH 45385-0212
(937) 708-8348
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
104100000X
Social Worker
—
—
1041C0700X
Clinical Social Worker
—
—
106S00000X
Behavior Technician
—
—
171M00000X
Case Manager/Care Coordinator
—
—
172V00000X
Community Health Worker
—
—
174200000X
Meals Provider
—
—
177F00000X
Lodging Provider
—
—
251B00000X
Case Management Agency
—
—
251S00000X
Community/Behavioral Health Agency
—
—
251V00000X
Voluntary or Charitable Agency
—
—
324500000X
Substance Abuse Rehabilitation Facility
—
—
Other
Enumeration date
10/05/2021
Last updated
02/25/2025
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