| Sanctuary Wellness And Education, Llc. | |
|
2260 Warrensville Center Rd Ste 211 University Heights OH 44118-3146 | |
| (216) 273-9933 | |
| Not Available |
| Full Name | Sanctuary Wellness And Education, Llc. |
|---|---|
| Speciality | Psychologist - School |
| Location | 2260 Warrensville Center Rd Ste 211, University Heights, Ohio |
| Authorized Official Name and Position | Chaquita Renette Niamke (LICENSED SCHOOL PSYCHOLOGIST/OWNER) |
| Authorized Official Contact | 2162739933 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Sanctuary Wellness And Education, Llc. 2260 Warrensville Center Rd Ste 211 University Heights OH 44118-3146 Ph: (216) 273-9933 | Sanctuary Wellness And Education, Llc. 2260 Warrensville Center Rd Ste 211 University Heights OH 44118-3146 Ph: (216) 273-9933 |
| NPI Number | 1639718208 |
|---|---|
| Provider Enumeration Date | 12/31/2019 |
| Last Update Date | 12/31/2019 |
| Certification Date | 12/31/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1639718208 | NPI | - | NPPES |
| 0248411 | Medicaid | OH |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TS0200X | Psychologist - School | (* (Not Available)) | Primary |
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