Healthcare Provider Details

I. General information

NPI: 1295359537
Provider Name (Legal Business Name): NOHA ELSAYED LPCC, MFT
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/02/2020
Last Update Date: 06/02/2020
Certification Date: 06/02/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3569 RIDGE RD
CLEVELAND OH
44102-5443
US

IV. Provider business mailing address

4423 HILLSIDE DR
COPLEY OH
44321-3071
US

V. Phone/Fax

Practice location:
  • Phone: 216-281-0872
  • Fax: 216-281-9721
Mailing address:
  • Phone: 330-329-2900
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License NumberE.2001737
License Number StateOH
# 2
Primary TaxonomyN
Taxonomy Code106H00000X
TaxonomyMarriage & Family Therapist
License NumberM.1700055
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: