Individual provider · Type 1 NPI

Krista Ellis

Addiction (Substance Use Disorder) Counselor · Lisbon, OH

NPI number 1982520656 Active

Practice location

40722 State Route 154
Lisbon, OH 44432-8500

Call (330) 424-9573 Map

Fax (330) 424-0877

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400XCDCAPRE.197207 (OH)
Case Manager/Care Coordinator 171M00000XNone listed

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About NPI 1982520656

Krista Ellis's National Provider Identifier is 1982520656, issued on Jun 26, 2026. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Lisbon, OH. The record was last updated on Oct 21, 2026.