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CLEAN SLATE SOBER LIVING, LLC
NPI 1295333052
Non-emergency Medical Transport (VAN) in Trotwood, OH

Active since October 14, 2020
714 E MAIN ST, TROTWOOD, OH 45426(844) 548-7627 Get Directions Write a Review

NPPES record last updated: October 14, 2020. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Clean Slate Sober Living, Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

CLEAN SLATE SOBER LIVING, LLC (NPI 1295333052) is a healthcare organization registered as a non-emergency medical transport (van) in Trotwood, Ohio and active in the NPI registry since October 2020. The organization lists Fannie Woods, Credentialing Specialist, as its authorized official.

NPPES Registry Identity

NPI1295333052
Entity TypeOrganization
Primary Taxonomy343900000X
Legal Business NameCLEAN SLATE SOBER LIVING, LLC
Location Address714 E MAIN STTrotwood, OH 45426-2909
Mailing Address714 E Main StTrotwood, OH 45426-2909 · (184) 454-8762
Phone(844) 548-7627
Organization SubpartNo
Authorized OfficialFannie WoodsCredentialing Specialist · (844) 548-7627
Enumeration DateOctober 14, 2020
NPPES CertifiedOctober 14, 2020
✔ NPI 1295333052 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNon-emergency Medical Transport (VAN)Transportation Services
Taxonomy Code343900000X
Definition
A land vehicle with a capacity to meet special height, clearance, access, and seating, for the conveyance of persons in non-emergency situations. The vehicle may or may not be required to meet local county or state regulations.
714 E MAIN ST, Trotwood, OH 45426
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Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

BRIAN DAVIS
Case Manager/Care Coordinator
714 E MAIN ST
TROTWOOD, OH 45426
Montgomery County (254) 577-0733
JUSTIN DARNELL LUSTER
Case Manager/Care Coordinator
714 E MAIN ST
DAYTON, OH 45426
Montgomery County (254) 577-0733
ANNA ROBINSON
Counselor (Addiction (Substance Use Disorder))
714 E MAIN ST
DAYTON, OH 45426
Montgomery County (254) 577-0733
KRISLYN YOAKUM
Case Manager/Care Coordinator
714 E MAIN ST
DAYTON, OH 45426
Montgomery County (254) 577-0733
CHELSA MARIE LAWHORN
Peer Specialist
714 E MAIN ST
TROTWOOD, OH 45426
Montgomery County (844) 548-7627
JENNIFER ERIN NEWLAND REGISTERED NURSE
Registered Nurse (Addiction (Substance Use Disorder))
714 E MAIN ST
DAYTON, OH 45426
Montgomery County (254) 577-0733
LESLYE STANFORD CDCA
Counselor (Addiction (Substance Use Disorder))
714 E MAIN ST
TROTWOOD, OH 45426
Montgomery County (937) 789-1109
TIFFANY SMALLWOOD LPN
Licensed Practical Nurse
714 E MAIN ST
DAYTON, OH 45426
Montgomery County (254) 577-0733

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Clean Slate Sober Living, LLC's NPI number?

The NPI number for Clean Slate Sober Living, LLC is 1295333052. It was assigned to this organization in the NPPES registry on October 14, 2020.

Where is Clean Slate Sober Living, LLC located?

Clean Slate Sober Living, LLC is located at 714 E Main St, Trotwood, OH 45426. The listed phone number is (844) 548-7627.

What is Clean Slate Sober Living, LLC's specialty?

The primary specialty registered for this NPI is Non-emergency Medical Transport (VAN) with taxonomy code 343900000X.

When was this NPI record last updated?

The NPPES record for Clean Slate Sober Living, LLC was last updated on October 14, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.