Life Anew Behavioral Health, Inc | |
27801 Euclid Ave Ste 300 Euclid OH 44132-3547 | |
(216) 417-1007 | |
Not Available |
Full Name | Life Anew Behavioral Health, Inc |
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Speciality | Community/Behavioral Health |
Location | 27801 Euclid Ave Ste 300, Euclid, Ohio |
Authorized Official Name and Position | Richard Cash (VICE PRESIDENT) |
Authorized Official Contact | 2164171007 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Life Anew Behavioral Health, Inc 27801 Euclid Ave Ste 300 Euclid OH 44132-3547 Ph: (216) 417-1007 | Life Anew Behavioral Health, Inc 27801 Euclid Ave Ste 300 Euclid OH 44132-3547 Ph: (216) 417-1007 |
NPI Number | 1407474208 |
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Provider Enumeration Date | 07/08/2020 |
Last Update Date | 03/15/2023 |
Certification Date | 03/15/2023 |
Medicare PECOS PAC ID | 6800256983 |
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Medicare Enrollment ID | O20230720003416 |
Identifier | Type | State | Issuer |
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1407474208 | NPI | - | NPPES |
Provider Name | Tristan Reed |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1942657945 PECOS PAC ID: 0042620122 Enrollment ID: I20201030000641 |
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