| Personal Space: Self Centering Therapy | |
|
24100 Chagrin Blvd Beachwood OH 44122-5535 | |
| (330) 485-6202 | |
| Not Available |
| Full Name | Personal Space: Self Centering Therapy |
|---|---|
| Speciality | Marriage & Family Therapist |
| Location | 24100 Chagrin Blvd, Beachwood, Ohio |
| Authorized Official Name and Position | Symphonie D Smith (OWNER) |
| Authorized Official Contact | 3304856202 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Personal Space: Self Centering Therapy 12756 Millstream Dr Bowie MD 20715-1637 Ph: (330) 485-6202 | Personal Space: Self Centering Therapy 24100 Chagrin Blvd Beachwood OH 44122-5535 Ph: (330) 485-6202 |
| NPI Number | 1679248215 |
|---|---|
| Provider Enumeration Date | 08/16/2021 |
| Last Update Date | 08/16/2021 |
| Certification Date | 08/16/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1679248215 | NPI | - | NPPES |
| 0288471 | Medicaid | OH |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 106H00000X | Marriage & Family Therapist | (* (Not Available)) | Primary |
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