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NPI Code Detail

MEDICARE: OTTAVO HEALTH OH, LLC

MEDICARE: OTTAVO HEALTH OH, LLC
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
1101YM0800XMental Health Counselor
21041C0700XClinical Social Worker
3101YP2500XProfessional Counselor
4106H00000XMarriage & Family Therapist
5261QM0850XAdult Mental Health Clinic/Center

General Provider Information

NPI Number : 1447047006
Entity Type Code : Organization
Provider Name (Legal Business Name) : OTTAVO HEALTH OH, LLC
Provider Business Mailing Address
First Line : C/O HEYMANS LLC 10290 WEST ATLANTIC AVENUE
Second Line : #480065
City : DELRAY BEACH
State : FL
Zip : 33448
Country : US
Telephone Number : 347-866-3663
Fax Number :
Provider Business Practice Location Address
First Line : 26250 EUCLID AVE STE 912
Second Line :
City : EUCLID
State : OH
Zip : 44132-3305
Country : US
Telephone Number : 216-373-2090
Fax Number :
Authorized Official
Title or Position : MANAGER
Name : MR. JONATHAN LINDENBLATT
Credential :
Telephone Number : 347-866-3663
Provider Enumeration Date : 04/24/2025
Last Update Date : 01/20/2026

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Directions to “OTTAVO HEALTH OH, LLC ” Practice Location

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