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THE BLACK MENTAL HEALTH CORPORATION NPI 1679140040


NPI Information

NPI: 1679140040
Provider Name: THE BLACK MENTAL HEALTH CORPORATION
Classification: Counselor - 101YA0400X
Entity Type: Organization

Specialization: Addiction (Substance Use Disorder)

Address:
13110 SHAKER SQ STE C200
CLEVELAND, OH
ZIP 44120
Phone: (216) 512-0321
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THE BLACK MENTAL HEALTH CORPORATION is an addiction (substance use disorder) counselor in Cleveland, OH. THE BLACK MENTAL HEALTH CORPORATION NPI is 1679140040. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

13110 SHAKER SQ STE C200
CLEVELAND, OH
ZIP 44120-373
Phone: (216) 512-0321
Fax: (216) 370-3192

The provider's authorized official is Desmond Eugene Yanamayu .
The authorized official title is Clinical Director and has the following contact phone number (330) 518-4863.

The enumeration date for this NPI number is 6/5/2021 and was last updated on 6/5/2021.


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)Yes

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
10443172MEDICAIDOHIO

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: 11/14/2023

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.