OHIO BEHAVIORAL WELLNESS AGENCY NPI 1972100139

NPI Information

NPI: 1972100139
Provider Name: OHIO BEHAVIORAL WELLNESS AGENCY
Classification: Counselor - 101YA0400X
Entity Type: Organization

Specialization: Addiction (Substance Use Disorder)

Address:
12805 REVERE AVE
CLEVELAND, OH
ZIP 44105
Phone: (216) 798-7177
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OHIO BEHAVIORAL WELLNESS AGENCY is an addiction (substance use disorder) counselor in Cleveland, OH. OHIO BEHAVIORAL WELLNESS AGENCY NPI is 1972100139. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

12805 REVERE AVE
CLEVELAND, OH
ZIP 44105-959
Phone: (216) 798-7177

The provider's authorized official is Jeffrey G Ward .
The authorized official title is President/ceo and has the following contact phone number (216) 798-7177.

The enumeration date for this NPI number is 10/1/2020 and was last updated on 10/7/2020.

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 Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	101YA0400X	Counselor	Addiction (Substance Use Disorder)			Yes

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

NPI Synchronization or Removal

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