Provider Demographics
NPI:1285147082
Name:HIMES, ALEESHA (CDCA)
Entity type:Individual
Prefix:
First Name:ALEESHA
Middle Name:
Last Name:HIMES
Suffix:
Gender:F
Credentials:CDCA
Other - Prefix:
Other - First Name:ALEESHA
Other - Middle Name:
Other - Last Name:BLANK
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:114 KENTUCKY DR
Mailing Address - Street 2:
Mailing Address - City:QUINCY
Mailing Address - State:KY
Mailing Address - Zip Code:41166-8965
Mailing Address - Country:US
Mailing Address - Phone:513-532-1071
Mailing Address - Fax:
Practice Address - Street 1:4633 AICHOLTZ RD
Practice Address - Street 2:
Practice Address - City:CINCINNATI
Practice Address - State:OH
Practice Address - Zip Code:45244
Practice Address - Country:US
Practice Address - Phone:513-752-1555
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2017-11-15
Last Update Date:2024-11-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH163493101YA0400X
OH167081101YA0400X
171M00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171M00000XOther Service ProvidersCase Manager/Care Coordinator
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)