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NPI Code Detail

MEDICARE: K&A ASSOCIATES AND MENTAL HEALTH LLC

MEDICARE: K&A ASSOCIATES AND MENTAL HEALTH 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
1385H00000XRespite Care
2251B00000XCase Management Agency
3261QM0855XAdolescent and Children Mental Health Clinic/Center
4261QR0405XSubstance Use Disorder Rehabilitation Clinic/Center
5251S00000XCommunity/Behavioral Health Agency

General Provider Information

NPI Number : 1629717772
Entity Type Code : Organization
Provider Name (Legal Business Name) : K&A ASSOCIATES AND MENTAL HEALTH LLC
Provider Business Mailing Address
First Line : 27028 CHARDON RD APT 203
Second Line :
City : CLEVELAND
State : OH
Zip : 44143-1134
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 17325 EUCLID AVE STE 4104
Second Line :
City : CLEVELAND
State : OH
Zip : 44112-1262
Country : US
Telephone Number : 440-832-1983
Fax Number :
Authorized Official
Title or Position : CEO
Name : ASHLEE MITCHELL
Credential :
Telephone Number : 440-832-1983
Provider Enumeration Date : 05/27/2022
Last Update Date : 01/04/2024

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