| 2020 Life Counseling Llc | |
|
21724 Lorain Rd Ste 8 Fairview Park OH 44126-3334 | |
| (216) 202-4528 | |
| Not Available |
| Full Name | 2020 Life Counseling Llc |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 21724 Lorain Rd Ste 8, Fairview Park, Ohio |
| Authorized Official Name and Position | Anycia Grady (OWNER/ CLINICAL SOCIAL WORKER) |
| Authorized Official Contact | 2162024528 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| 2020 Life Counseling Llc 6303 Ridgewood Ave Parma OH 44129-2325 Ph: (216) 832-2366 | 2020 Life Counseling Llc 21724 Lorain Rd Ste 8 Fairview Park OH 44126-3334 Ph: (216) 202-4528 |
| NPI Number | 1346869682 |
|---|---|
| Provider Enumeration Date | 04/15/2020 |
| Last Update Date | 04/15/2020 |
| Certification Date | 04/15/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1346869682 | NPI | - | NPPES |
| 0353151 | Medicaid | OH |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
| 261QM0850X | Clinic/center - Adult Mental Health | (* (Not Available)) | Secondary |
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