| First Step With Maria Llc | |
|
11811 Shaker Blvd Ste 113a Cleveland OH 44120-1927 | |
| (216) 509-9125 | |
| Not Available |
| Full Name | First Step With Maria Llc |
|---|---|
| Speciality | Community/Behavioral Health |
| Location | 11811 Shaker Blvd Ste 113a, Cleveland, Ohio |
| Authorized Official Name and Position | Maria Davidson (OWNER) |
| Authorized Official Contact | 2165099125 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| First Step With Maria Llc 11811 Shaker Blvd Ste 113a Cleveland OH 44120-1927 Ph: (216) 509-9125 | First Step With Maria Llc 11811 Shaker Blvd Ste 113a Cleveland OH 44120-1927 Ph: (216) 509-9125 |
| NPI Number | 1053972448 |
|---|---|
| Provider Enumeration Date | 06/26/2019 |
| Last Update Date | 06/26/2019 |
| Medicare PECOS PAC ID | 4385971886 |
|---|---|
| Medicare Enrollment ID | O20190806003670 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1053972448 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
| Provider Name | Maria L Davidson |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1972009462 PECOS PAC ID: 7810252806 Enrollment ID: I20180522000880 |
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