| Jordan Community Residential | |
|
30841 Euclid Ave Ste 103 Willoughby OH 44094-3100 | |
| (216) 441-2496 | |
| (216) 634-9611 |
| Full Name | Jordan Community Residential |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 30841 Euclid Ave Ste 103, Willoughby, Ohio |
| Authorized Official Name and Position | Tenisha Gant (CHIEF EXECUTIVE OFFICER) |
| Authorized Official Contact | 2164412496 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Jordan Community Residential 30841 Euclid Ave Ste 103 Willoughby OH 44094-3100 Ph: (216) 441-2496 | Jordan Community Residential 30841 Euclid Ave Ste 103 Willoughby OH 44094-3100 Ph: (216) 441-2496 |
| NPI Number | 1467098822 |
|---|---|
| Provider Enumeration Date | 11/20/2019 |
| Last Update Date | 04/26/2024 |
| Certification Date | 04/24/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1467098822 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
Judith Marinich, Inc. Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 38039 W Spaulding St, Willoughby, OH 44094 Phone: 440-918-1806 Fax: 440-918-1807 | |
Associates In Neurology, Inc Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 35040 Chardon Rd, Suite 110, Willoughby, OH 44094 Phone: 440-946-1200 Fax: 440-946-5186 | |
Stradford Counseling Services Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 30841 Euclid Ave, Willoughby, OH 44094 Phone: 440-409-9977 | |
Signature Health Associates, Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 38882 Mentor Ave, Willoughby, OH 44094 Phone: 440-953-9999 Fax: 440-918-3839 | |
Phoenix Counseling And Wellness, Llc Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 35104 Euclid Ave Ste 306, Willoughby, OH 44094 Phone: 440-571-5009 Fax: 440-571-4850 | |
Jordan Community Residential Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 30841 Euclid Ave Ste 103, Willoughby, OH 44094 Phone: 216-441-2496 Fax: 216-634-9611 | |
Drs Feldman,svete,foerstner Llc Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 34950 Chardon Rd Ste 202, Willoughby, OH 44094 Phone: 440-510-5100 Fax: 440-510-5151 |