Healthcare Provider Details

I. General information

NPI: 1750408555
Provider Name (Legal Business Name): DENISE MARIE COOPER P.C.
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 03/25/2007
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

12200 FAIRHILL RD
CLEVELAND OH
44120-1058
US

IV. Provider business mailing address

3416 TUXEDO AVE
PARMA OH
44134-1239
US

V. Phone/Fax

Practice location:
  • Phone: 216-791-9303
  • Fax:
Mailing address:
  • Phone: 216-661-4959
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License NumberC0600329
License Number StateOH
# 2
Primary TaxonomyN
Taxonomy Code221700000X
TaxonomyArt Therapist
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: