Healthcare Provider Details

I. General information

NPI: 1588785067
Provider Name (Legal Business Name): HULL INSTITUTE, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/03/2007
Last Update Date: 11/02/2023
Certification Date: 11/02/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3681 GREEN RD STE 406
BEACHWOOD OH
44122-5716
US

IV. Provider business mailing address

3681 GREEN RD STE 406
BEACHWOOD OH
44122-5716
US

V. Phone/Fax

Practice location:
  • Phone: 216-407-6278
  • Fax:
Mailing address:
  • Phone: 216-407-6278
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License NumberI-0004450
License Number StateOH

VIII. Authorized Official

Name: MS. ANN FITZSIMONS HULL
Title or Position: PRESIDENT
Credential: L.I.S.W.
Phone: 216-407-6278