CLEAR MIND INC NPI 1013059179

NPI Information

NPI: 1013059179
Provider Name: CLEAR MIND INC
Classification: Counselor - 101YA0400X
Entity Type: Organization

Specialization: Addiction (Substance Use Disorder)

Address:
21851 CENTER RIDGE RD
SUITE 411
ROCKY RIVER, OH
ZIP 44116
Phone: (440) 331-2899
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CLEAR MIND INC is an addiction (substance use disorder) counselor in Rocky River, OH. CLEAR MIND INC NPI is 1013059179. The provider is registered as an organization entity type and is a multiple single specialty group.

The provider's business location address is:

21851 CENTER RIDGE RD
SUITE 411
ROCKY RIVER, OH
ZIP 44116-976
Phone: (440) 331-2899
Fax: (440) 331-2899

The provider's authorized official is John B Wilhelm .
The authorized official title is Medical Supervisor and has the following contact phone number (440) 331-2899.

The enumeration date for this NPI number is 2/13/2007 and was last updated on 8/22/2020.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	101YA0400X	Counselor	Addiction (Substance Use Disorder)	83876	OHIO	Yes
2	101YM0800X	Counselor	Mental Health	C1743	OHIO	X

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	0208475	MEDICAID	OHIO

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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