| Intentional Change Therapy, Llc | |
|
2233 E. 81st St. Cleveland OH 44103-5003 | |
| (412) 657-5513 | |
| Not Available |
| Full Name | Intentional Change Therapy, Llc |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 2233 E. 81st St., Cleveland, Ohio |
| Authorized Official Name and Position | Latanya Perdue (MENTAL HEALTH THERAPIST) |
| Authorized Official Contact | 4126575513 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Intentional Change Therapy, Llc P.o. Box 603249 Cleveland OH 44103-0249 Ph: (412) 657-5513 | Intentional Change Therapy, Llc 2233 E. 81st St. Cleveland OH 44103-5003 Ph: (412) 657-5513 |
| NPI Number | 1801631239 |
|---|---|
| Provider Enumeration Date | 06/27/2024 |
| Last Update Date | 06/27/2024 |
| Certification Date | 06/27/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1801631239 | NPI | - | NPPES |
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