Anne Pearl, Llc | |
25700 Science Park Dr Ste 280 Beachwood OH 44122-7317 | |
(216) 285-0468 | |
Not Available |
Full Name | Anne Pearl, Llc |
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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 |
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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 |
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Provider Enumeration Date | 07/20/2023 |
Last Update Date | 07/20/2023 |
Certification Date | 07/20/2023 |
Medicare PECOS PAC ID | 5597108068 |
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Medicare Enrollment ID | O20240212003173 |
Identifier | Type | State | Issuer |
---|---|---|---|
1598445918 | NPI | - | NPPES |
Provider Name | Amy R Madan |
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Provider Type | Practitioner - Mental Health Counselor |
Provider Identifiers | NPI Number: 1902102346 PECOS PAC ID: 1759724222 Enrollment ID: I20240212003604 |
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