Healthcare Provider Details

I. General information

NPI: 1679481600
Provider Name (Legal Business Name): ARSCOLA HUDSON
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/31/2026
Last Update Date: 08/31/2026
Certification Date: 08/31/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3100 E 45TH ST
CLEVELAND OH
44127-1088
US

IV. Provider business mailing address

620 TURNEY RD
BEDFORD OH
44146-3375
US

V. Phone/Fax

Practice location:
  • Phone: 216-417-1115
  • Fax:
Mailing address:
  • Phone:
  • Fax:

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: