Healthcare Provider Details

I. General information

NPI: 1093511016
Provider Name (Legal Business Name): AIN'T I A WOMAN WELLNESS CENTER CORPORATION
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/20/2025
Last Update Date: 02/20/2025
Certification Date: 02/20/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

16117 THROCKLEY AVE
CLEVELAND OH
44128-1371
US

IV. Provider business mailing address

16117 THROCKLEY AVE
CLEVELAND OH
44128-1371
US

V. Phone/Fax

Practice location:
  • Phone: 216-712-1051
  • Fax:
Mailing address:
  • Phone: 216-712-1051
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101Y00000X
TaxonomyCounselor
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code104100000X
TaxonomySocial Worker
License Number
License Number State
# 5
Primary TaxonomyN
Taxonomy Code106H00000X
TaxonomyMarriage & Family Therapist
License Number
License Number State
# 6
Primary TaxonomyN
Taxonomy Code171400000X
TaxonomyHealth & Wellness Coach
License Number
License Number State

VIII. Authorized Official

Name: STEPHANIE LEE
Title or Position: EXECUTIVE DIRECTOR
Credential:
Phone: 216-712-1051