Provider Demographics
NPI:1386195006
Name:ANDRIACCO, ELIZABETH (CDCA)
Entity type:Individual
Prefix:
First Name:ELIZABETH
Middle Name:
Last Name:ANDRIACCO
Suffix:
Gender:F
Credentials:CDCA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3131 HARVEY AVE STE 104
Mailing Address - Street 2:
Mailing Address - City:CINCINNATI
Mailing Address - State:OH
Mailing Address - Zip Code:45229-3006
Mailing Address - Country:US
Mailing Address - Phone:513-585-9724
Mailing Address - Fax:
Practice Address - Street 1:3131 HARVEY AVE STE 104
Practice Address - Street 2:
Practice Address - City:CINCINNATI
Practice Address - State:OH
Practice Address - Zip Code:45229-3006
Practice Address - Country:US
Practice Address - Phone:513-585-9724
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2016-10-18
Last Update Date:2025-12-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHCDCA.161785101YA0400X
OHLCDCII.161522101YA0400X
OHC.2507305-TRNE101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health