Healthcare Provider Details

I. General information

NPI: 1386620722
Provider Name (Legal Business Name): JANET R AXLER LPCC-S
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 12/19/2005
Last Update Date: 08/02/2023
Certification Date: 08/02/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

21825 CHAGRIN BLVD SUITE 310
BEACHWOOD OH
44122
US

IV. Provider business mailing address

PO BOX 22307
BEACHWOOD OH
44122
US

V. Phone/Fax

Practice location:
  • Phone: 216-921-3222
  • Fax: 216-921-9442
Mailing address:
  • Phone: 216-509-9933
  • Fax: 216-921-9442

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License NumberE0001837
License Number StateOH
# 2
Primary TaxonomyN
Taxonomy Code104100000X
TaxonomySocial Worker
License NumberS0015282
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: