Organization
HEALTHY LIVING RECOVERY SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DIONDRA ROSE HOLLIDAY LSW (OWNER/LICENSED SOCIAL WOER)
(513) 616-7442
Entity
Organization
Contact information
Practice address
2525 WALDEN GLEN CIR APT A, CINCINNATI, OH 45231-1441
(513) 616-7442
Mailing address
2525 WALDEN GLEN CIR APT A, CINCINNATI, OH 45231-1441
(513) 616-7442
Taxonomy
Speciality
Code
Description
License number
State
261QM0850X
Adult Mental Health Clinic/Center
—
—
276400000X
Substance Use Disorder Rehabilitation Hospital Unit
Primary
S1440334
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
S1440334
LICENSED SOCIAL WORKER
OH
Enumeration date
09/27/2017
Last updated
07/21/2022
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