Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Clean Slate Sober Living

Organization Addiction (Substance Use Disorder) Counselor · NPI 1538638218

Clean Slate Sober Living is an Addiction (Substance Use Disorder) Counselor in Trotwood, Ohio. Registered with an NPI since 2018.

In the registry since
2018
Specialties on file
9
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Practice location Address checks out

714 E Main St
Trotwood, OH 45426-2909
Phone: (844) 548-7627
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Community/Behavioral Health Agency (primary) Taxonomy 251S00000X
Addiction (Substance Use Disorder) Counselor Taxonomy 101YA0400X
Counseling Psychologist Taxonomy 103TC1900X
Adult Mental Health Clinic/Center Taxonomy 261QM0850X
Substance Use Disorder Rehabilitation Clinic/Center Taxonomy 261QR0405X
Mental Illness Community Based Residential Treatment Facility Taxonomy 320800000X
Substance Abuse Rehabilitation Facility Taxonomy 324500000X
Non-emergency Medical Transport (VAN) Taxonomy 343900000X
Respite Care Taxonomy 385H00000X

Record details

NPI number1538638218
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Leiland Woods — Coo · (404) 782-2988
NPI enumeratedNovember 25, 2018
Last updated in NPPESDecember 12, 2019
Certification dateDecember 12, 2019
Mailing address714 E Main St, Trotwood, OH 45426-2909

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