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LARA WALDENMAIER LLC NPI 1629659610


NPI Information

NPI: 1629659610
Provider Name: LARA WALDENMAIER LLC
Classification: Counselor - 101Y00000X
Entity Type: Organization
Address:
5900 SOM CENTER RD STE 12-203
WILLOUGHBY, OH
ZIP 44094
Phone: (440) 540-5258
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LARA WALDENMAIER LLC is a counselor in Willoughby, OH. The provider is a provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification. LARA WALDENMAIER LLC NPI is 1629659610. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

5900 SOM CENTER RD STE 12-203
WILLOUGHBY, OH
ZIP 44094-086
Phone: (440) 540-5258

The provider's authorized official is Lara Waldenmaier .
The authorized official title is Professional Clinical Counselor and has the following contact phone number (440) 525-6825.

The enumeration date for this NPI number is 4/20/2021 and was last updated on 4/20/2021.


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
1101Y00000XCounselorYes

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
10185639MEDICAIDOHIO
213815586OTHEROHIOCAQH
3CS1625600131OTHEROHIOCARESOURCE

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

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.