| Anne Pearl, Llc | |
|
25700 Science Park Dr Ste 280 Beachwood OH 44122-7317 | |
| (216) 285-0468 | |
| Not Available |
| Full Name | Anne Pearl, Llc |
|---|---|
| Speciality | Counselor |
| Location | 25700 Science Park Dr Ste 280, Beachwood, Ohio |
| Authorized Official Name and Position | Derek L Stovall-leonard (PRESIDENT) |
| Authorized Official Contact | 6307405521 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Anne Pearl, Llc 5247 Wilson Mills Rd # 1000 Richmond Heights OH 44143-3016 Ph: (216) 285-0468 | Anne Pearl, Llc 25700 Science Park Dr Ste 280 Beachwood OH 44122-7317 Ph: (216) 285-0468 |
| NPI Number | 1598445918 |
|---|---|
| Provider Enumeration Date | 07/20/2023 |
| Last Update Date | 07/20/2023 |
| Certification Date | 07/20/2023 |
| Medicare PECOS PAC ID | 5597108068 |
|---|---|
| Medicare Enrollment ID | O20240212003173 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1598445918 | NPI | - | NPPES |
| Provider Name | Amy R Madan |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1902102346 PECOS PAC ID: 1759724222 Enrollment ID: I20240212003604 |
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