Healthcare Provider Details
I. General information
NPI: 1538473780
Provider Name (Legal Business Name): LEE ANN STROUSE R.N.
Entity Type: Individual
Gender: Female
Sole Proprietor: Y
II. Dates (important events)
Enumeration Date: 07/29/2010
Last Update Date: 12/08/2025
Certification Date: 12/08/2025
Deactivation Date:
Reactivation Date:
III. Provider practice location address
223 MILLER RD
AVON LAKE OH
44012-1004
US
IV. Provider business mailing address
35980 MILDRED ST
N RIDGEVILLE OH
44039-1512
US
V. Phone/Fax
- Phone: 440-930-2002
- Fax:
- Phone: 440-315-9407
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | N |
| Taxonomy Code | 163WP0808X |
| Taxonomy | Psychiatric/Mental Health Registered Nurse |
| License Number | NS-06226 |
| License Number State | OH |
| # 2 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 101YP2500X |
| Taxonomy | Professional Counselor |
| License Number | E.1700042 |
| License Number State | OH |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: