Healthcare Provider Details

I. General information

NPI: 1962235580
Provider Name (Legal Business Name): TOUCH OF HOPE CENTERS LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/20/2024
Last Update Date: 10/04/2024
Certification Date: 10/04/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7017 PEARL RD STE 1F
CLEVELAND OH
44130-4935
US

IV. Provider business mailing address

4758 RIDGE RD # 417
BROOKLYN OH
44144-3327
US

V. Phone/Fax

Practice location:
  • Phone: 216-659-1661
  • Fax:
Mailing address:
  • Phone: 216-659-1661
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code103TA0400X
TaxonomyAddiction (Substance Use Disorder) Psychologist
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code175T00000X
TaxonomyPeer Specialist
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code320900000X
TaxonomyIntellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code101YA0400X
TaxonomyAddiction (Substance Use Disorder) Counselor
License Number
License Number State
# 5
Primary TaxonomyY
Taxonomy Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License Number
License Number State

VIII. Authorized Official

Name: MS. DANIELLE D DAVIS
Title or Position: CEO
Credential: LSW
Phone: 216-659-1661