Mr Antwon E Elijah I, QMHS/CMS is a
Counselor - Mental Health based in Dayton, Ohio. Mr Antwon E Elijah I is licensed to practice in * (Not Available) (license number ) and his current practice location is
813 Troy St, Dayton, Ohio. He can be reached at his office (for appointments etc.) via phone at
(937) 982-1500.
NPI number for Mr Antwon E Elijah I is 1588139125 and his current mailing address is 813 Troy St, Dayton, Ohio. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1588139125.
Healthcare Provider's Profile
| Full Name | Mr Antwon E Elijah I |
|---|
| Gender | Male |
|---|
| Speciality | Counselor - Mental Health |
|---|
| Location | 813 Troy St, Dayton, Ohio |
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
|---|
NPI Data:
- NPI Number: 1588139125
- Provider Enumeration Date: 10/10/2018
- Last Update Date: 02/13/2026
Medical Identifiers
Medical identifiers for Mr Antwon E Elijah I such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1588139125 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 1041C0700X | Social Worker - Clinical | S.1800373-TRNE (Ohio) | Secondary |
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | (* (Not Available)) | Secondary |
| 104100000X | Social Worker | (* (Not Available)) | Secondary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Mr Antwon E Elijah I is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Mr Antwon E Elijah I, QMHS/CMS
813 Troy St,
Dayton, OH 45404-1852
Ph: (937) 982-1500 | Mr Antwon E Elijah I, QMHS/CMS
813 Troy St,
Dayton, OH 45404-1852
Ph: (937) 982-1500 |
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