Nicholas Wade, CDCA

Peer Specialist · Austintown, OH

Individual Active NPI

NPI number 1588104012

Practice location

5760 Patriot Blvd
Austintown, OH 44515-1170
Phone
(330) 953-0243

Open in Google Maps

NPI record

NPI
1588104012
Entity type
Individual (Type 1)
Enumeration date
March 2, 2017
Last updated
September 21, 2020
Certified
September 21, 2020
Sole proprietor
Yes

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Peer Specialist Primary 175T00000X 0001998 OH
Substance Abuse Rehabilitation Facility 324500000X — OH

Other practice locations (1)

  • 2737 Youngstown Rd SE, Warren, OH 44484-5002 · (330) 369-8022

About Nicholas Wade

Nicholas Wade, CDCA is a healthcare provider registered in the NPI registry with the primary taxonomy Peer Specialist (code 175T00000X). The practice location is 5760 Patriot Blvd, Austintown, OH 44515-1170. The NPI number 1588104012 was assigned on March 2, 2017 and the record was last updated on September 21, 2020.

Nicholas Wade lists a license in the registry: #0001998 (OH) for Peer Specialist. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Nicholas Wade, CDCA?

The NPI number is 1588104012.

What is the phone number of Nicholas Wade?

The phone number listed for the practice location is (330) 953-0243.

Where is Nicholas Wade located?

5760 Patriot Blvd, Austintown, OH 44515-1170.

What is the taxonomy code for Nicholas Wade?

The primary taxonomy code is 175T00000X – Peer Specialist; 1 more listed above.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

Other Peer Specialist providers in Austintown

All Peer Specialist providers in Austintown, OH →