SOPHISTICATED ONE COUNSELING NPI 1821581786

NPI Information

SOPHISTICATED ONE COUNSELING is a rehabilitation and substance use disorder clinic center in Cleveland, OH. SOPHISTICATED ONE COUNSELING NPI is 1821581786. The provider is registered as an organization entity type.

The provider's business location address is:

4207 SACKETT AVE
CLEVELAND, OH
ZIP 44109-286
Phone: (216) 346-8608
Fax: (216) 273-7974

The provider's authorized official is Angela Viola Sampson .
The authorized official title is Owner and has the following contact phone number (216) 346-8608.

The CLIA number assigned to this NPI record is 36D2228046 - other practitioner with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 6/14/2018 and was last updated on 3/4/2021.

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:

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

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