Lotus Heart Llc | |
24500 Center Ridge Rd Westlake OH 44145-5601 | |
(216) 533-4966 | |
Not Available |
Full Name | Lotus Heart Llc |
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Speciality | Counselor |
Location | 24500 Center Ridge Rd, Westlake, Ohio |
Authorized Official Name and Position | Marissa Lee Ferrer (MEMBER) |
Authorized Official Contact | 2165334966 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Lotus Heart Llc 26719 Bruce Rd Bay Village OH 44140-2206 Ph: () - | Lotus Heart Llc 24500 Center Ridge Rd Westlake OH 44145-5601 Ph: (216) 533-4966 |
NPI Number | 1942696083 |
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Provider Enumeration Date | 04/15/2015 |
Last Update Date | 12/10/2015 |
Medicare PECOS PAC ID | 1254632540 |
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Medicare Enrollment ID | O20151210000229 |
Identifier | Type | State | Issuer |
---|---|---|---|
1942696083 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YM0800X | Counselor - Mental Health | IO80073 (Ohio) | Primary |
Provider Name | Marissa Ferrer |
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Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1588686984 PECOS PAC ID: 8921135104 Enrollment ID: I20100420000440 |
Provider Name | Patti A Verde |
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Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1639111669 PECOS PAC ID: 2961681101 Enrollment ID: I20110120000608 |
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