| Miss Lou | |
|
4500 Lee Rd Ste 230 Cleveland OH 44128-2959 | |
| (225) 239-5498 | |
| (225) 239-5543 |
| Full Name | Miss Lou |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 4500 Lee Rd Ste 230, Cleveland, Ohio |
| Authorized Official Name and Position | Ben Thomas (OWNER) |
| Authorized Official Contact | 2252395498 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Miss Lou 8786 Goodwood Blvd Ste 105 Baton Rouge LA 70806-7917 Ph: (225) 239-5498 | Miss Lou 4500 Lee Rd Ste 230 Cleveland OH 44128-2959 Ph: (225) 239-5498 |
| NPI Number | 1851047211 |
|---|---|
| Provider Enumeration Date | 02/24/2022 |
| Last Update Date | 01/17/2023 |
| Certification Date | 01/17/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1851047211 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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