| Shaker Clinic, Llc | |
|
20600 Chagrin Blvd Suite 620 Shaker Heights OH 44122-5327 | |
| (216) 751-4762 | |
| (216) 751-5894 |
| Full Name | Shaker Clinic, Llc |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 20600 Chagrin Blvd, Shaker Heights, Ohio |
| Authorized Official Name and Position | Christopher Howard (VP & TREASURER) |
| Authorized Official Contact | 6158616000 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Shaker Clinic, Llc 6000 Tower Circle Suite 1000 Franklin TN 37067 Ph: (615) 861-1000 | Shaker Clinic, Llc 20600 Chagrin Blvd Suite 620 Shaker Heights OH 44122-5327 Ph: (216) 751-4762 |
| NPI Number | 1831209816 |
|---|---|
| Provider Enumeration Date | 08/30/2006 |
| Last Update Date | 09/25/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1831209816 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | 0519 (Ohio) | Primary |
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