Healthcare Provider Details

I. General information

NPI: 1376113282
Provider Name (Legal Business Name): BFG CONSULTING AND MANAGEMENT
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/01/2021
Last Update Date: 07/01/2021
Certification Date: 07/01/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1115 PARKSIDE RD
CLEVELAND OH
44108-2969
US

IV. Provider business mailing address

959 WHISPERING WOODS DR
MACEDONIA OH
44056-2350
US

V. Phone/Fax

Practice location:
  • Phone: 216-862-3893
  • Fax:
Mailing address:
  • Phone: 216-209-1717
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code3245S0500X
TaxonomyChildren's Substance Abuse Rehabilitation Facility
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License Number
License Number State

VIII. Authorized Official

Name: MRS. BIANCA GRIFFIN
Title or Position: OWNER
Credential: LICDC-CS, LPC
Phone: 216-209-1717