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

Mr. Damon Lamont Cruell, CDCA

Individual provider Case Management Agency · NPI 1134502404

Mr. Damon Lamont Cruell, CDCA is a Case Management Agency in Lima, Ohio. Practices as a sole proprietor. Licensed in Ohio.

Licensed in
OH
In the registry since
2015
Specialties on file
2

Practice location Address checks out

809 W Vine St
Lima, OH 45804-1054
Phone: (419) 222-4474
Fax: (419) 222-7044
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Addiction (Substance Use Disorder) Counselor (primary) Taxonomy 101YA0400X · Licence 1134502404 (OH)
Case Management Agency Taxonomy 251B00000X · Licence 1134502404 (OH)

Record details

NPI number1134502404
Entity typeIndividual (Type 1)
GenderMale
Credentials CDCA
Sole proprietorYes
NPI enumeratedJuly 6, 2015
Last updated in NPPESJuly 7, 2015

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