| Empowering Integrated Care Solutions, Llc | |
|
23875 Commerce Park Ste 140 Beachwood OH 44122-5805 | |
| (216) 532-3427 | |
| (216) 502-2803 |
| Full Name | Empowering Integrated Care Solutions, Llc |
|---|---|
| Speciality | Clinic/Center |
| Location | 23875 Commerce Park Ste 140, Beachwood, Ohio |
| Authorized Official Name and Position | Patricia Lynn Berger (CEO) |
| Authorized Official Contact | 2165323427 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Empowering Integrated Care Solutions, Llc 23875 Commerce Park Ste 140 Beachwood OH 44122-5805 Ph: (216) 532-3427 | Empowering Integrated Care Solutions, Llc 23875 Commerce Park Ste 140 Beachwood OH 44122-5805 Ph: (216) 532-3427 |
| NPI Number | 1922543982 |
|---|---|
| Provider Enumeration Date | 12/30/2016 |
| Last Update Date | 07/17/2024 |
| Certification Date | 07/17/2024 |
| Medicare PECOS PAC ID | 9133403553 |
|---|---|
| Medicare Enrollment ID | O20170303000522 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1922543982 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | 01-7569 (Ohio) | Primary |
| Provider Name | Lynne B Behrman |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1326409863 PECOS PAC ID: 2961700059 Enrollment ID: I20160405001936 |
| Provider Name | Lila L Jenkins |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1861746240 PECOS PAC ID: 7517110851 Enrollment ID: I20210910000233 |
| Provider Name | Elizabeth Delancey-niksa |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1396292108 PECOS PAC ID: 9234591595 Enrollment ID: I20231016000452 |
| Provider Name | Jerilyn Rogers |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1487890109 PECOS PAC ID: 2961840525 Enrollment ID: I20240402003647 |
| Provider Name | Patricia Lynn Berger |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1629431507 PECOS PAC ID: 5597049916 Enrollment ID: I20240424003466 |
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