MEDICARE: SMART CHOICE BEHAVIORAL HEALTH

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	251S00000X	Community/Behavioral Health Agency

General Provider Information

NPI Number	:	1053262717
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	SMART CHOICE BEHAVIORAL HEALTH

Provider Business Mailing Address
First Line	:	12914 BROADWAY AVE FL 2
Second Line	:
City	:	GARFIELD HEIGHTS
State	:	OH
Zip	:	44125-1859
Country	:	US
Telephone Number	:	216-230-9245
Fax Number	:	216-239-0683

Provider Business Practice Location Address
First Line	:	12914 BROADWAY AVE FL 2
Second Line	:
City	:	GARFIELD HEIGHTS
State	:	OH
Zip	:	44125-1859
Country	:	US
Telephone Number	:	216-230-9245
Fax Number	:	216-239-0683

Authorized Official
Title or Position	:	DIRCTOR
Name	:	KENYATTA DENISE VANCE-ANDERSON
Credential	:	FNP-C
Telephone Number	:	216-230-9245

Provider Enumeration Date	:	02/06/2026
Last Update Date	:	02/06/2026

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Directions to “SMART CHOICE BEHAVIORAL HEALTH ” Practice Location

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