Healthcare Provider Details
I. General information
NPI: 1326398884
Provider Name (Legal Business Name): CENTER FOR ADVANCED MENTAL HEALTH PRACTICE CORPORATION
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 09/12/2012
Last Update Date: 10/01/2025
Certification Date: 10/01/2025
Deactivation Date:
Reactivation Date:
III. Provider practice location address
2633 E OVERLOOK RD
CLEVELAND HEIGHTS OH
44106-2801
US
IV. Provider business mailing address
2633 E OVERLOOK RD
CLEVELAND HEIGHTS OH
44106-2801
US
V. Phone/Fax
- Phone: 216-501-1730
- Fax: 216-359-1382
- Phone: 216-501-1730
- Fax: 216-359-1382
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 1041C0700X |
| Taxonomy | Clinical Social Worker |
| License Number | |
| License Number State | |
| # 2 | |
| Primary Taxonomy | N |
| Taxonomy Code | 251S00000X |
| Taxonomy | Community/Behavioral Health Agency |
| License Number | I.1200850 |
| License Number State | OH |
VIII. Authorized Official
Name: DR.
DANIELLE
JOSEPHINE
DRONET
Title or Position: DSW LISWS OWNER
Credential:
Phone: 216-501-1730