INNOVATIVE BEHAVIORAL HEALTH COUNSELING NPI 1548745391

NPI Information

NPI: 1548745391
Provider Name: INNOVATIVE BEHAVIORAL HEALTH COUNSELING
Classification: Counselor - 101YP2500X
Entity Type: Organization

Specialization: Professional

Address:
3344 CEDARBROOK RD
CLEVELAND HEIGHTS, OH
ZIP 44118
Phone: (216) 507-0168
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INNOVATIVE BEHAVIORAL HEALTH COUNSELING is a professional counselor in Cleveland Heights, OH. INNOVATIVE BEHAVIORAL HEALTH COUNSELING NPI is 1548745391. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

3344 CEDARBROOK RD
CLEVELAND HEIGHTS, OH
ZIP 44118-944
Phone: (216) 507-0168

The provider's authorized official is Kimberley Dedraette Hart-ogburn .
The authorized official title is Therapist and has the following contact phone number (216) 507-0168.

The enumeration date for this NPI number is 9/27/2018 and was last updated on 9/27/2018.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	101YP2500X	Counselor	Professional			Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	247366	MEDICAID	OHIO

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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