| Marymount Behavioral Health Services | |
|
6000 W Creek Rd Suite 20 Independence OH 44131-2139 | |
| (216) 986-1169 | |
| (216) 986-1016 |
| Full Name | Marymount Behavioral Health Services |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 6000 W Creek Rd, Independence, Ohio |
| Authorized Official Name and Position | Mark Susin (DIRECTOR) |
| Authorized Official Contact | 2169861169 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Marymount Behavioral Health Services 6000 W Creek Rd Suite 20 Independence OH 44131-2139 Ph: (216) 986-1169 | Marymount Behavioral Health Services 6000 W Creek Rd Suite 20 Independence OH 44131-2139 Ph: (216) 986-1169 |
| NPI Number | 1710187364 |
|---|---|
| Provider Enumeration Date | 07/23/2007 |
| Last Update Date | 07/23/2007 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1710187364 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YS0200X | Counselor - School | E-227 (Ohio) | Secondary |
| 1041C0700X | Social Worker - Clinical | I-2164 (Ohio) | Primary |
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