Provider Demographics
NPI:1558412445
Name:STRICKLIN, MATTHEW HARVEY JR (MDIV, MSED, PCC,CDCA)
Entity Type:Individual
Prefix:MR
First Name:MATTHEW
Middle Name:HARVEY
Last Name:STRICKLIN
Suffix:JR
Gender:M
Credentials:MDIV, MSED, PCC,CDCA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:431 OHIO PIKE STE 226
Mailing Address - Street 2:
Mailing Address - City:CINCINNATI
Mailing Address - State:OH
Mailing Address - Zip Code:45255-3375
Mailing Address - Country:US
Mailing Address - Phone:513-535-6053
Mailing Address - Fax:513-792-3308
Practice Address - Street 1:431 OHIO PIKE
Practice Address - Street 2:
Practice Address - City:CINCINNATI
Practice Address - State:OH
Practice Address - Zip Code:45255-3375
Practice Address - Country:US
Practice Address - Phone:513-967-1460
Practice Address - Fax:513-456-2855
Is Sole Proprietor?:No
Enumeration Date:2007-01-16
Last Update Date:2024-04-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHCERTIFICATION 050075101YA0400X
OHE. 0700182101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH311130153Medicare UPIN
OHPR 9303841Medicare PIN