| Triumph Over Trauma | |
|
9225 Lincoln Dr Apt F10 Northfield OH 44067-1155 | |
| (216) 466-3675 | |
| Not Available |
| Full Name | Triumph Over Trauma |
|---|---|
| Speciality | Community/Behavioral Health |
| Location | 9225 Lincoln Dr Apt F10, Northfield, Ohio |
| Authorized Official Name and Position | Jonetha Aasimah Ali (CLINICAL DIRECTOR/THERAPIST) |
| Authorized Official Contact | 2164663675 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Triumph Over Trauma 9225 Lincoln Dr Apt F10 Northfield OH 44067-1155 Ph: (216) 466-3675 | Triumph Over Trauma 9225 Lincoln Dr Apt F10 Northfield OH 44067-1155 Ph: (216) 466-3675 |
| NPI Number | 1366224768 |
|---|---|
| Provider Enumeration Date | 10/19/2023 |
| Last Update Date | 10/27/2023 |
| Certification Date | 10/27/2023 |
| Medicare PECOS PAC ID | 8224489901 |
|---|---|
| Medicare Enrollment ID | O20240106000511 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1366224768 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
| Provider Name | Jonetha Ali |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1467077305 PECOS PAC ID: 7214345446 Enrollment ID: I20230717002677 |
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