Healthcare Provider Details

I. General information

NPI: 1750257457
Provider Name (Legal Business Name): CANDOR AND HOPE THERAPY INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/11/2025
Last Update Date: 10/11/2025
Certification Date: 10/11/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3659 GREEN RD STE 322
BEACHWOOD OH
44122-5715
US

IV. Provider business mailing address

3659 GREEN RD STE 322
BEACHWOOD OH
44122-5715
US

V. Phone/Fax

Practice location:
  • Phone: 216-245-8488
  • Fax:
Mailing address:
  • Phone: 216-903-2291
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code106H00000X
TaxonomyMarriage & Family Therapist
License Number
License Number State

VIII. Authorized Official

Name: MARIRHETTA L CROSBY
Title or Position: CLINICAL DIRECTOR
Credential: IMFT-S, LPCC-S
Phone: 216-903-2291