Individual
EZZIE NIKITA NELSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.ED.,LICDC
Contact information
Practice address
1402 WESTEN AVE, CINCINNATI, OH 45214
(513) 412-7241
Mailing address
1409 WESTERN AVE, CINCINNATI, OH 45214-2041
(513) 412-7241
(513) 651-0037
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
C.2304637-TRNE
OH
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
LICDC.162642
OH
253Z00000X
In Home Supportive Care Agency
—
OH
3747P1801X
Personal Care Attendant
—
OH
376J00000X
Homemaker
—
OH
385H00000X
Respite Care
—
OH
Other
Enumeration date
05/24/2019
Last updated
11/17/2025
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