Provider Demographics
NPI:1245097104
Name:SAVINELL, GINA ANGELETTE I (CDCA)
Entity type:Individual
Prefix:
First Name:GINA
Middle Name:ANGELETTE
Last Name:SAVINELL
Suffix:I
Gender:F
Credentials:CDCA
Other - Prefix:
Other - First Name:GINA
Other - Middle Name:ANGELETTE
Other - Last Name:PROCOPIO
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:1479 3RD ST
Mailing Address - Street 2:
Mailing Address - City:BRILLIANT
Mailing Address - State:OH
Mailing Address - Zip Code:43913-1000
Mailing Address - Country:US
Mailing Address - Phone:740-598-2054
Mailing Address - Fax:740-598-8296
Practice Address - Street 1:1479 3RD ST
Practice Address - Street 2:
Practice Address - City:BRILLIANT
Practice Address - State:OH
Practice Address - Zip Code:43913-1000
Practice Address - Country:US
Practice Address - Phone:740-598-2054
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-03-06
Last Update Date:2024-03-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH187332101YA0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)