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Organization

ELEVARE OH, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
SAMANTHA MILLER (ADMINISTRATOR)
(513) 499-7503
Entity
Organization

Contact information

Practice address
4130 LINDEN AVE STE 309, DAYTON, OH 45432-3034
(513) 499-7503
Mailing address
4130 LINDEN AVE STE 309, DAYTON, OH 45432-3034
(513) 499-7503

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
1041C0700X
Clinical Social Worker
251S00000X
Community/Behavioral Health Agency
Primary
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
261QM0850X
Adult Mental Health Clinic/Center
261QM0855X
Adolescent and Children Mental Health Clinic/Center

Other

Enumeration date
02/04/2026
Last updated
07/09/2026
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