| Your Recovery Counseling | |
|
23811 Chagrin Blvd Ste 105 Beachwood OH 44122-5525 | |
| (216) 483-1001 | |
| Not Available |
| Full Name | Your Recovery Counseling |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 23811 Chagrin Blvd Ste 105, Beachwood, Ohio |
| Authorized Official Name and Position | Sadigoh Galloway (CEO) |
| Authorized Official Contact | 2164831001 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Your Recovery Counseling 23811 Chagrin Blvd Ste 105 Beachwood OH 44122-5525 Ph: (216) 483-1001 | Your Recovery Counseling 23811 Chagrin Blvd Ste 105 Beachwood OH 44122-5525 Ph: (216) 483-1001 |
| NPI Number | 1740936509 |
|---|---|
| Provider Enumeration Date | 03/01/2022 |
| Last Update Date | 01/05/2024 |
| Certification Date | 01/05/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1740936509 | NPI | - | NPPES |
| 0262397 | Medicaid | OH | |
| 1649654260 | Medicaid | OH | |
| 0477109 | Medicaid | OH | |
| 0480736 | Medicaid | OH | |
| 1841930971 | Other | OH | NPI |
| 1740936509 | Other | OH | NPI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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