Healthcare Provider Details

I. General information

NPI: 1235087206
Provider Name (Legal Business Name): CORRY APPLINE
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 03/17/2026
Last Update Date: 03/17/2026
Certification Date: 03/17/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2800 EUCLID AVE STE 335
CLEVELAND OH
44115-2496
US

IV. Provider business mailing address

2800 EUCLID AVE STE 335
CLEVELAND OH
44115-2496
US

V. Phone/Fax

Practice location:
  • Phone: 216-772-2095
  • Fax:
Mailing address:
  • Phone: 216-772-2095
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License NumberC.2304927
License Number StateOH
# 2
Primary TaxonomyN
Taxonomy Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License Number
License Number StateNULL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: