Individual provider · Type 1 NPI

Ebony Vines

Mental Health Counselor · Youngstown, OH

NPI number 1801767959 Active

Practice location

163 W Glenaven Ave
Youngstown, OH 44507-1336

Call (330) 651-3400 Map

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XTH000027 (OH)

Mental Health Counselor: Definition to come...

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About NPI 1801767959

Ebony Vines's National Provider Identifier is 1801767959, issued on Sep 12, 2025. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Youngstown, OH. The record was last updated on Sep 23, 2025.