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ALTON KEITH DAUGHERTY LCDC III
NPI 1770083982
Counselor - Addiction (Substance Use Disorder) in Moraine, OH

Active since February 14, 2018
200 DARUMA PKWY, MORAINE, OH 45439(937) 963-5522(937) 496-5216 Get Directions Write a Review

NPPES record last updated: February 14, 2018. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Alton Keith Daugherty Lcdc Iii NPPES

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

ALTON KEITH DAUGHERTY LCDC III (NPI 1770083982) is an individual addiction (substance use disorder) provider in Moraine, Ohio, licensed in Ohio (161525) and active in the NPI registry since February 2018.

NPPES Registry Identity

NPI1770083982
Entity TypeIndividualMale
Primary Taxonomy101YA0400X
Provider Legal NameALTON KEITH DAUGHERTYCredential: LCDC III
Location Address200 DARUMA PKWYMoraine, OH 45439-7909
Mailing Address1470 Vernon DrDayton, OH 45406-4752 · (937) 416-9030
Phone(937) 963-5522
Fax(937) 496-5216
Sole ProprietorYes
Enumeration DateFebruary 14, 2018
✔ NPI 1770083982 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Addiction (Substance Use Disorder)Behavioral Health & Social Service Providers
Taxonomy Code101YA0400X
License✔ Licensed in OH · 161525
200 DARUMA PKWY, Moraine, OH 45439
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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.

LANEISHA TIANT GARDNER CDCA
Counselor (Addiction (Substance Use Disorder))
200 DARUMA PKWY
MORAINE, OH 45439
Montgomery County (937) 262-3500
TERRANCE ANTHONY SMITH
Counselor (Addiction (Substance Use Disorder))
200 DARUMA PKWY
MORAINE, OH 45439
Montgomery County (937) 262-3515
ACUTECARE PACE MONTGOMERY LLC
Program of All-Inclusive Care for the Elderly (PACE) Provider Organization
200 DARUMA PKWY
MORAINE, OH 45439
Montgomery County (732) 806-3205
VALERIE LYNN MOORE LPN
Licensed Practical Nurse
200 DARUMA PKWY
MORAINE, OH 45439
Montgomery County (937) 262-3500
ASHLEY MARIE COX LPN
Licensed Practical Nurse
200 DARUMA PKWY
MORAINE, OH 45439
Montgomery County (937) 262-3500
PROJECT CURE INC
Community/Behavioral Health
200 DARUMA PKWY
MORAINE, OH 45439
Montgomery County (937) 262-3500
TOWANDA LEE TALLEY LPN
Licensed Practical Nurse
200 DARUMA PKWY
MORAINE, OH 45439
Montgomery County (937) 262-5919
DONALD EDWARD THOMAS CDCA
Counselor (Addiction (Substance Use Disorder))
200 DARUMA PKWY
MORAINE, OH 45439
Montgomery County (937) 262-3500

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 Alton Daugherty's NPI number?

The NPI number for Alton Daugherty is 1770083982. It was assigned to this individual provider in the NPPES registry on February 14, 2018.

Where is Alton Daugherty located?

Alton Daugherty practices at 200 Daruma Pkwy, Moraine, OH 45439. The listed phone number is (937) 963-5522.

What is Alton Daugherty's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Addiction (Substance Use Disorder), with taxonomy code 101YA0400X.

When was this NPI record last updated?

The NPPES record for Alton Daugherty was last updated on February 14, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.