Provider Demographics
NPI:1972978559
Name:NELEI-NUNNEMAKER, CAITLYN GREY (LPCC-S)
Entity Type:Individual
Prefix:DR
First Name:CAITLYN
Middle Name:GREY
Last Name:NELEI-NUNNEMAKER
Suffix:
Gender:X
Credentials:LPCC-S
Other - Prefix:DR
Other - First Name:GREY
Other - Middle Name:
Other - Last Name:NELEI
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:
Mailing Address - Street 1:9541 CORNELL LN
Mailing Address - Street 2:
Mailing Address - City:WEST CHESTER
Mailing Address - State:OH
Mailing Address - Zip Code:45011-9780
Mailing Address - Country:US
Mailing Address - Phone:513-226-3988
Mailing Address - Fax:
Practice Address - Street 1:9541 CORNELL LN
Practice Address - Street 2:
Practice Address - City:WEST CHESTER
Practice Address - State:OH
Practice Address - Zip Code:45011-9780
Practice Address - Country:US
Practice Address - Phone:513-226-3988
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2015-12-08
Last Update Date:2024-05-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHLICDC-161455101YA0400X
OHC-1400036101YM0800X
OHE.1800558101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)