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CATHOLIC CHARITIES SERVICES CORPORATION NPI 1568418424


NPI Information

NPI: 1568418424
Provider Name: CATHOLIC CHARITIES SERVICES CORPORATION

Doing Business As: CATHOLIC CHARITIES SERVICES OF LAKE COUNTY

Classification: Clinic/Center - 261QM0855X
Entity Type: Organization

Specialization: Adolescent and Children Mental Health

Address:
8 N STATE ST
SUITE 455
PAINESVILLE, OH
ZIP 44077
Phone: (440) 946-7264
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CATHOLIC CHARITIES SERVICES CORPORATION is an adolescent and children mental health clinic center in Painesville, OH. The provider is an entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in children and adolescents. Services may be provided to parents and family members of the patient in the form of conjoint, group, or individual therapy, and education and/or training. CATHOLIC CHARITIES SERVICES CORPORATION NPI is 1568418424. The provider is registered as an organization entity type.
The provider Is Doing Business As Catholic Charities Services Of Lake County.

The provider's business location address is:

8 N STATE ST
SUITE 455
PAINESVILLE, OH
ZIP 44077-955
Phone: (440) 946-7264
Fax: (440) 953-1608

The provider's authorized official is Tom Woll .
The authorized official title is Executive Director and has the following contact phone number (440) 843-5501.

The enumeration date for this NPI number is 5/25/2006 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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1261QM0855XClinic/CenterAdolescent and Children Mental Health0375OHIOYes
2261QM0801XClinic/CenterMental Health (Including Community Mental Health Center)0375OHIOX
3261QM0850XClinic/CenterAdult Mental Health0375OHIOX

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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