| Adult Wellness Clinic Llc | |
|
23850 Commerce Park Ste C Beachwood OH 44122-5829 | |
| (440) 781-5200 | |
| (216) 508-4058 |
| Full Name | Adult Wellness Clinic Llc |
|---|---|
| Speciality | Clinic/Center |
| Location | 23850 Commerce Park Ste C, Beachwood, Ohio |
| Authorized Official Name and Position | Svetlana Alana Litvak (OWNER) |
| Authorized Official Contact | 4407815200 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Adult Wellness Clinic Llc 23850 Commerce Park Beachwood OH 44122-5829 Ph: (440) 781-5200 | Adult Wellness Clinic Llc 23850 Commerce Park Ste C Beachwood OH 44122-5829 Ph: (440) 781-5200 |
| NPI Number | 1932976362 |
|---|---|
| Provider Enumeration Date | 12/06/2023 |
| Last Update Date | 12/06/2023 |
| Certification Date | 12/06/2023 |
| Medicare PECOS PAC ID | 9537509526 |
|---|---|
| Medicare Enrollment ID | O20240424001051 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1932976362 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
| Provider Name | George G Stokes |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1801868203 PECOS PAC ID: 7012105927 Enrollment ID: I20101220000362 |
| Provider Name | Megan Nicole Kyea |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1851856017 PECOS PAC ID: 3173855038 Enrollment ID: I20191024003152 |
| Provider Name | Svetlana Alana Litvak |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1326289075 PECOS PAC ID: 3779619473 Enrollment ID: I20200309001619 |
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