| Cleveland Family Therapy Llc | |
|
23360 Chagrin Blvd Suite 102 Beachwood OH 44122-5537 | |
| (440) 210-4763 | |
| Not Available |
| Full Name | Cleveland Family Therapy Llc |
|---|---|
| Speciality | Counselor - Professional |
| Location | 23360 Chagrin Blvd, Beachwood, Ohio |
| Authorized Official Name and Position | Melissa Coan (OWNER) |
| Authorized Official Contact | 4402104763 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Cleveland Family Therapy Llc 23360 Chagrin Blvd Suite 102 Beachwood OH 44122-5537 Ph: (440) 210-4763 | Cleveland Family Therapy Llc 23360 Chagrin Blvd Suite 102 Beachwood OH 44122-5537 Ph: (440) 210-4763 |
| NPI Number | 1710228614 |
|---|---|
| Provider Enumeration Date | 03/03/2013 |
| Last Update Date | 03/03/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1710228614 | NPI | - | NPPES |
| 12329204 | Medicaid | OH |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | 021164 (Ohio) | Secondary |
| 101YP2500X | Counselor - Professional | C0501110 (Ohio) | Primary |
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