MEDICARE: ONE SESSION AT A TIME 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
1	261QM0801X	Mental Health Clinic/Center (Including Community Mental Health Center)

General Provider Information

NPI Number	:	1548824956
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ONE SESSION AT A TIME LLC

Provider Business Mailing Address
First Line	:	15905 W PARK RD
Second Line	:
City	:	CLEVELAND
State	:	OH
Zip	:	44111-3912
Country	:	US
Telephone Number	:	216-288-0495
Fax Number	:

Provider Business Practice Location Address
First Line	:	17407 LORAIN AVE STE 201
Second Line	:
City	:	CLEVELAND
State	:	OH
Zip	:	44111-4022
Country	:	US
Telephone Number	:	216-395-7580
Fax Number	:

Authorized Official
Title or Position	:	OWNER/THERAPIST
Name	:	MEGHAN MONTALVO
Credential	:	IMFT
Telephone Number	:	216-395-7580

Provider Enumeration Date	:	05/01/2019
Last Update Date	:	05/01/2019

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Directions to “ONE SESSION AT A TIME LLC ” Practice Location

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