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RAVENWOOD MENTAL HEALTH CENTER NPI 1912265794


NPI Information

NPI: 1912265794
Provider Name: RAVENWOOD MENTAL HEALTH CENTER
Classification: Counselor - 101YA0400X
Entity Type: Organization

Specialization: Addiction (Substance Use Disorder)

Address:
12557 RAVENWOOD DR
CHARDON, OH
ZIP 44024
Phone: (440) 285-2170
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RAVENWOOD MENTAL HEALTH CENTER is an addiction (substance use disorder) counselor in Chardon, OH. RAVENWOOD MENTAL HEALTH CENTER NPI is 1912265794. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

12557 RAVENWOOD DR
CHARDON, OH
ZIP 44024-009
Phone: (440) 285-2170
Fax: (440) 285-2207

The provider's authorized official is Vicki L Clark .
The authorized official title is Ceo and has the following contact phone number (440) 285-2170.

The enumeration date for this NPI number is 4/30/2012 and was last updated on 10/14/2014.


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)OHIOYes

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
19190803MEDICARE UPINOHIO
22863763MEDICAIDOHIO
31053345975OTHEROHIONPI

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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