Healthcare Provider Details

I. General information

NPI: 1427928845
Provider Name (Legal Business Name): YOUR PRECIOUS DREAMS LLC INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/10/2025
Last Update Date: 11/10/2025
Certification Date: 11/10/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1300 E 9TH ST STE 1210
CLEVELAND OH
44114-1513
US

IV. Provider business mailing address

1300 E 9TH ST STE 1210
CLEVELAND OH
44114-1513
US

V. Phone/Fax

Practice location:
  • Phone: 216-867-7930
  • Fax:
Mailing address:
  • Phone: 216-867-7930
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code251B00000X
TaxonomyCase Management Agency
License Number
License Number StateNULL
# 2
Primary TaxonomyN
Taxonomy Code343900000X
TaxonomyNon-emergency Medical Transport (VAN)
License Number
License Number StateNULL
# 3
Primary TaxonomyN
Taxonomy Code101Y00000X
TaxonomyCounselor
License Number
License Number StateNULL
# 4
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number StateNULL
# 5
Primary TaxonomyN
Taxonomy Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License Number
License Number StateNULL

VIII. Authorized Official

Name: MR. ANTWAUN L MARTIN
Title or Position: CHEIF DIRECTOR
Credential:
Phone: 216-867-7930