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WEST MOCK ASSOCIATES INC DBA CENTER FOR INTERPERSONAL DEVELOPMENT NPI 1649303512


NPI Information

NPI: 1649303512
Provider Name: WEST MOCK ASSOCIATES, INC DBA CENTER FOR INTERPERSONAL DEVELOPMENT

Doing Business As: CENTER FOR INTERPERSONAL DEVELOPMENT

Classification: Counselor - 101Y00000X
Entity Type: Organization
Address:
14650 DETROIT AVENUE
SUITE LL40
LAKEWOOD, OH
ZIP 44107
Phone: (216) 226-2721
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WEST MOCK ASSOCIATES, INC DBA CENTER FOR INTERPERSONAL DEVELOPMENT is a counselor in Lakewood, OH. The provider is a provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification. WEST MOCK ASSOCIATES, INC DBA CENTER FOR INTERPERSONAL DEVELOPMENT NPI is 1649303512. The provider is registered as an organization entity type and is a multiple single specialty group.
The provider Is Doing Business As Center For Interpersonal Development.

The provider's business location address is:

14650 DETROIT AVENUE
SUITE LL40
LAKEWOOD, OH
ZIP 44107
Phone: (216) 226-2721
Fax: (216) 226-2731

The provider's authorized official is Barbara S. Swimmer .
The authorized official title is Director and has the following contact phone number (216) 226-2721.

The enumeration date for this NPI number is 3/13/2007 and was last updated on 12/13/2011.


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
1103TA0400XPsychologistAddiction (Substance Use Disorder)3760OHIONo
2101Y00000XCounselor071029OHIONo
3101Y00000XCounselorI0031096OHIOYes

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
13029252MEDICAIDOHIO

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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