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

Ethan Tate

Individual provider Addiction (Substance Use Disorder) Counselor · NPI 1912893421

Ethan Tate is an Addiction (Substance Use Disorder) Counselor in Springfield, Ohio. Practices as a sole proprietor. Licensed in Ohio.

Licensed in
OH
In the registry since
2025

Practice location Address checks out

2624 Lexington Ave
Springfield, OH 45505-2620
Phone: (937) 328-5300
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Addiction (Substance Use Disorder) Counselor (primary) Taxonomy 101YA0400X · Licence CDCA.196129 (OH)

Record details

NPI number1912893421
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedJune 13, 2025
Last updated in NPPESJune 15, 2026
Certification dateJune 15, 2026
Mailing address2624 Lexington Ave, Springfield, OH 45505-2620

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