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BE HEALED FAMILY OUTREACH NPI 1184824344


NPI Information

NPI: 1184824344
Provider Name: BE HEALED FAMILY OUTREACH

Doing Business As: SUCCESS 1 SERVICES

Classification: Marriage & Family Therapist - 106H00000X
Entity Type: Organization
Address:
670 BROADWAY AVE
BEDFORD, OH
ZIP 44146
Phone: (440) 439-9250
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BE HEALED FAMILY OUTREACH is a marriage family therapist in Bedford, OH. The provider is a marriage and family therapist is a person with a master's degree in marriage and family therapy, or a master's or doctoral degree in a related mental health field with substantially equivalent coursework in marriage and family therapy, who receives supervised clinical experience, or a person who meets the state requirements to practice as a marriage and family therapist. A marriage and family therapist treats mental and emotional disorders within the context of marriage and family systems. A marriage and family therapist provides mental health and counseling services to individuals, couples, families, and groups. BE HEALED FAMILY OUTREACH NPI is 1184824344. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Success 1 Services.

The provider's business location address is:

670 BROADWAY AVE
BEDFORD, OH
ZIP 44146-642
Phone: (440) 439-9250
Fax: (216) 641-7330

The provider's authorized official is Min. Jerome C. Rivers .
The authorized official title is Executive Director and has the following contact phone number (216) 224-4254.

The enumeration date for this NPI number is 7/24/2007 and was last updated on 7/24/2007.


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)011102OHIONo
2101YP1600XCounselorPastoralE4292OHIONo
3101YP2500XCounselorProfessionalE4292OHIONo
4106H00000XMarriage & Family TherapistF120OHIOYes

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

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