Healthcare Provider Details

I. General information

NPI: 1518871540
Provider Name (Legal Business Name): ANAVAH COUNSELING LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/29/2026
Last Update Date: 09/29/2026
Certification Date: 09/29/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

46 FRONT ST
BEREA OH
44017-1986
US

IV. Provider business mailing address

35198 NIKKI AVE
NORTH RIDGEVILLE OH
44039-1476
US

V. Phone/Fax

Practice location:
  • Phone: 216-282-3916
  • Fax:
Mailing address:
  • Phone: 216-282-3916
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number
License Number StateNULL

VIII. Authorized Official

Name: FAY HAHN
Title or Position: MANAGER / CLINICIAN
Credential: LPPC-S
Phone: 216-282-3916