Adullam Sober Living Program – Counselor, NPI 1306449384

Adullam Sober Living Program is a healthcare provider. based in Moraine, Ohio. specializing in Counselor. The NPI Number for Adullam Sober Living Program is 1306449384

Main info

Organization
Name
Adullam Sober Living Program
NPI
1306449384
Phone
(937) 315-0030
Address
2400 W STROOP RD
Authorized Official
JEORGE L LOGAN DIRECTOR MSSA,LICDC,CPS-S
Enumeration Date
20 November 2020
Last Update Date
28 August 2025
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience35
Completeness90
Years active:5State licenses:0Digital endpoints

Provider Addresses for Adullam Sober Living Program

  • 2400 W STROOP RD

    MORAINE, OH 454392041

    Phone: (937) 315-0030

    Fax: (937) 701-6901

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

No Medicare enrollment or revalidation data available for this provider in our database.

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Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 45439)

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Reviews

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Frequently asked questions

What number should I use to identify Adullam Sober Living Program for billing?
Administrative and clinical systems typically use NPI 1306449384 for Adullam Sober Living Program.
Does the public listing show Adullam Sober Living Program as active?
Adullam Sober Living Program's NPI record reflects an active status in NPPES.
Which specialty label fits Adullam Sober Living Program?
NPPES ties Adullam Sober Living Program to Counselor in the taxonomy section. Clinical services aligned with this taxonomy classification.
What geographic area is tied to Adullam Sober Living Program?
Adullam Sober Living Program is associated with Moraine, Ohio in the same public data insurers reference.
Can I export Adullam Sober Living Program's record?
You can download the official NPPES record; we summarize key fields for readability.

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