Provider Type Icon

EXODUS CLINICAL COUNSELING SERVICES(CCS) NPI 1689074023


NPI Information

NPI: 1689074023
Provider Name: EXODUS CLINICAL COUNSELING SERVICES(CCS)
Classification: Counselor - 101YA0400X
Entity Type: Organization

Specialization: Addiction (Substance Use Disorder)

Address:
30841 EUCLID AVE
SUITE 201
WILLOUGHBY, OH
ZIP 44094
Phone: (440) 516-0281
Get Directions

EXODUS CLINICAL COUNSELING SERVICES(CCS) is an addiction (substance use disorder) counselor in Willoughby, OH. EXODUS CLINICAL COUNSELING SERVICES(CCS) NPI is 1689074023. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

30841 EUCLID AVE
SUITE 201
WILLOUGHBY, OH
ZIP 44094-100
Phone: (440) 516-0281

The provider's authorized official is Karen Larkins Graves .
The authorized official title is Exec Clinical Counselor and has the following contact phone number (440) 516-0281.

The enumeration date for this NPI number is 9/3/2014 and was last updated on 9/3/2014.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1101YA0400XCounselorAddiction (Substance Use Disorder)081194OHIOYes

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 IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
11386961910OTHEROHIONPI

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: 4/28/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.