Theodicies Support Llc | |
3690 Orange Pl Ste 120 Beachwood OH 44122-4438 | |
(440) 703-0486 | |
(216) 472-8748 |
Full Name | Theodicies Support Llc |
---|---|
Speciality | Social Worker - Clinical |
Location | 3690 Orange Pl Ste 120, Beachwood, Ohio |
Authorized Official Name and Position | Shawna Jackson Young (CLINICAL DIRECTOR) |
Authorized Official Contact | 4407030486 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Theodicies Support Llc 3690 Orange Pl Ste 120 Beachwood OH 44122-4438 Ph: (440) 703-0486 | Theodicies Support Llc 3690 Orange Pl Ste 120 Beachwood OH 44122-4438 Ph: (440) 703-0486 |
NPI Number | 1083323430 |
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Provider Enumeration Date | 11/15/2022 |
Last Update Date | 11/15/2022 |
Certification Date | 11/15/2022 |
Identifier | Type | State | Issuer |
---|---|---|---|
1083323430 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
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