| Enbody | |
|
16808 Chagrin Blvd Shaker Heights OH 44120-3724 | |
| (440) 409-2023 | |
| (216) 415-6858 |
| Full Name | Enbody |
|---|---|
| Speciality | Nurse Practitioner - Psychiatric/mental Health |
| Location | 16808 Chagrin Blvd, Shaker Heights, Ohio |
| Authorized Official Name and Position | Tiffinne Perkins (CLINICAL DIRECTOR) |
| Authorized Official Contact | 2164156818 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Enbody 1408 S Green Rd South Euclid OH 44121-3920 Ph: (440) 409-2023 | Enbody 16808 Chagrin Blvd Shaker Heights OH 44120-3724 Ph: (440) 409-2023 |
| NPI Number | 1942079975 |
|---|---|
| Provider Enumeration Date | 01/02/2024 |
| Last Update Date | 01/02/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1942079975 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (* (Not Available)) | Secondary |
| 363LP0808X | Nurse Practitioner - Psychiatric/mental Health | (* (Not Available)) | Primary |
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