Provider Demographics
NPI:1851136626
Name:ALLOWAY, HEIDI (CDCA, CPRS)
Entity type:Individual
Prefix:
First Name:HEIDI
Middle Name:
Last Name:ALLOWAY
Suffix:
Gender:F
Credentials:CDCA, CPRS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:875 E COLUMBUS ST
Mailing Address - Street 2:
Mailing Address - City:KENTON
Mailing Address - State:OH
Mailing Address - Zip Code:43326-2601
Mailing Address - Country:US
Mailing Address - Phone:937-642-9555
Mailing Address - Fax:
Practice Address - Street 1:875 E COLUMBUS ST
Practice Address - Street 2:
Practice Address - City:KENTON
Practice Address - State:OH
Practice Address - Zip Code:43326-2601
Practice Address - Country:US
Practice Address - Phone:419-788-4653
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-06-25
Last Update Date:2025-09-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHCDCA.192039101YA0400X
175T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)Group - Multi-Specialty
No175T00000XOther Service ProvidersPeer Specialist