Healthcare Provider Details

I. General information

NPI: 1669393732
Provider Name (Legal Business Name): OLIVIA C. DILUCIA CARE COORDINATOR/MH
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: OLIVIA C. COMO

II. Dates (important events)

Enumeration Date: 07/23/2026
Last Update Date: 07/23/2026
Certification Date: 07/23/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3100 EUCLID AVE
CLEVELAND OH
44115-2508
US

IV. Provider business mailing address

3100 EUCLID AVE
CLEVELAND OH
44115-2508
US

V. Phone/Fax

Practice location:
  • Phone: 216-361-4400
  • Fax: 216-361-2340
Mailing address:
  • Phone: 216-361-4400
  • Fax: 216-361-2340

VI. Provider taxonomy

Scope of Practice (Provider specialty)

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

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: