Healthcare Provider Details

I. General information

NPI: 1124202924
Provider Name (Legal Business Name): BEGINNING TO HEAL
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/28/2007
Last Update Date: 04/17/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5311 NORTHFIELD RD SUITE 409
BEDFORD HTS OH
44146-1135
US

IV. Provider business mailing address

5844 BEAR CREEK DR
BEDFORD HTS OH
44146-2960
US

V. Phone/Fax

Practice location:
  • Phone: 440-786-8222
  • Fax: 440-786-7505
Mailing address:
  • Phone: 440-786-8222
  • Fax: 440-786-7505

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YA0400X
TaxonomyAddiction (Substance Use Disorder) Counselor
License Number981034
License Number StateOH

VIII. Authorized Official

Name: MS. BARBARA JEAN MCCALL
Title or Position: PRESIDENT
Credential: LISW-S
Phone: 440-786-8222