Healthcare Provider Details

I. General information

NPI: 1174720510
Provider Name (Legal Business Name): STRONGSVILLE FAMILY COUNSELING, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/29/2007
Last Update Date: 09/29/2026
Certification Date: 09/29/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

17900 JEFFERSON PARK RD STE 101
CLEVELAND OH
44130-3437
US

IV. Provider business mailing address

PO BOX 365953
HYDE PARK MA
02136-0017
US

V. Phone/Fax

Practice location:
  • Phone: 317-272-3905
  • Fax:
Mailing address:
  • Phone: 617-272-3905
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number StateNULL

VIII. Authorized Official

Name: LENEIGH WHITE
Title or Position: DIRECTOR
Credential: LPCC
Phone: 440-238-0008