Healthcare Provider Details
I. General information
NPI: 1215529177
Provider Name (Legal Business Name): DOROTHY MARGUERITE PEHOWIC LMHC LPCC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y
II. Dates (important events)
Enumeration Date: 02/10/2021
Last Update Date: 08/21/2026
Certification Date: 08/21/2026
Deactivation Date:
Reactivation Date:
III. Provider practice location address
700 W SAINT CLAIR AVE STE 100
CLEVELAND OH
44113-1205
US
IV. Provider business mailing address
7901 4TH ST N STE 23803
ST PETERSBURG FL
33702-4305
US
V. Phone/Fax
- Phone: 407-402-5088
- Fax:
- Phone: 407-402-5088
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | N |
| Taxonomy Code | 101YM0800X |
| Taxonomy | Mental Health Counselor |
| License Number | IMH19031 |
| License Number State | FL |
| # 2 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 101YM0800X |
| Taxonomy | Mental Health Counselor |
| License Number | E2606644 |
| License Number State | OH |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: