MEDICARE: CHARDONAY BROWN LPCC

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	101Y00000X	Counselor	C.2103207	OH

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1396157426
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	CHARDONAY BROWN LPCC

Provider Business Mailing Address
First Line	:	1194 CLEVELAND HEIGHTS BLVD
Second Line	:
City	:	CLEVELAND
State	:	OH
Zip	:	44121-1856
Country	:	US
Telephone Number	:	216-200-2442
Fax Number	:

Provider Business Practice Location Address
First Line	:	1194 CLEVELAND HEIGHTS BLVD
Second Line	:
City	:	CLEVELAND
State	:	OH
Zip	:	44121-1856
Country	:	US
Telephone Number	:	216-200-2442
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/23/2014
Last Update Date	:	11/13/2023

Similar Medicare Providers

1770438103 — SHEILA THOMAS SHEILA THOMAS MSW, LSW, ACHP
Practice Location Address:

1751 S GREEN RD
CLEVELAND, OH
44121-4209

Practice Phone: 216-832-8793
Practice Fax: 216-832-8793

1104284850 — MRS. DANITA SWINNEY APRN
Practice Location Address:

3735 WOODRIDGE RD
CLEVELAND HTS, OH
44121-1860

Practice Phone: 216-609-5594
Practice Fax:

1982550703 — FANTASIA FONTES
Practice Location Address:

3525 BRINKMORE RD
CLEVELAND HEIGHTS, OH
44121-1337

Practice Phone: 234-425-3477
Practice Fax:

1992793426 — MS. HATTIE LOUISE OHM P.T.
Practice Location Address:

14100 CEDAR RD , SUITE 150
CLEVELAND, OH
44121-3212

Practice Phone: 216-691-9602
Practice Fax:

1699763714 — DR. DONALD C MANN MD
Practice Location Address:

1611 S GREEN RD , SUITE 300
CLEVELAND, OH
44121-4128

Practice Phone: 216-381-2673
Practice Fax:

1366431850 — AKARI TICHAVAKUNDA M.D.
Practice Location Address:

14100 CEDAR RD , SUITE 270
CLEVELAND, OH
44121-3212

Practice Phone: 216-382-0555
Practice Fax: 216-382-0726

Directions to “ CHARDONAY BROWN LPCC” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.