WILLOW GLEN NPI 1518843853

NPI Information

  • NPI: 1518843853
  • Provider Name: WILLOW GLEN
  • Classification: Counselor - 101YP2500X
  • Specialization: Professional
  • Entity Type: Organization
  • Address: 30800 CHAGRIN BLVD
    CLEVELAND, OH
    ZIP 44124
  • Phone: (216) 329-1052

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NPI Details

WILLOW GLEN is a professional counselor in Cleveland, OH. WILLOW GLEN NPI is 1518843853. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

30800 CHAGRIN BLVD
CLEVELAND, OH
ZIP 44124-925
Phone: (216) 329-1052

The provider's authorized official is Alicia Blackley .
The authorized official title is Lpcc and has the following contact phone number (216) 329-1052.

The enumeration date for this NPI number is 8/13/2025 and was last updated on 8/13/2025.

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
11041C0700XSocial WorkerClinicalNo
2101YA0400XCounselorAddiction (Substance Use Disorder)No
3101YP2500XCounselorProfessionalYes

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: 11/21/2025

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