| Casting Hope Therapy Group Inc | |
|
16560 Commerce Ct Middleburg Heights OH 44130-6305 | |
| (440) 973-7015 | |
| (450) 973-7018 |
| Full Name | Casting Hope Therapy Group Inc |
|---|---|
| Speciality | Counselor |
| Location | 16560 Commerce Ct, Middleburg Heights, Ohio |
| Authorized Official Name and Position | Hope D Shotwell (CEO) |
| Authorized Official Contact | 4409737015 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Casting Hope Therapy Group Inc 4902 Wood Ave Parma OH 44134-2356 Ph: (216) 334-8243 | Casting Hope Therapy Group Inc 16560 Commerce Ct Middleburg Heights OH 44130-6305 Ph: (440) 973-7015 |
| NPI Number | 1881375194 |
|---|---|
| Provider Enumeration Date | 07/28/2023 |
| Last Update Date | 07/28/2023 |
| Certification Date | 07/28/2023 |
| Medicare PECOS PAC ID | 8224482377 |
|---|---|
| Medicare Enrollment ID | O20230925000297 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1881375194 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
| Provider Name | Maximino Cortes |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1598013617 PECOS PAC ID: 3870882392 Enrollment ID: I20160523000743 |
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