Healthcare Provider Details

I. General information

NPI: 1497615645
Provider Name (Legal Business Name): MONICA SHERESE LEVERETT
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 11/12/2025
Last Update Date: 11/12/2025
Certification Date: 11/12/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

20611 EUCLID AVE
EUCLID OH
44117-1521
US

IV. Provider business mailing address

509 KARL DR
RICHMOND HEIGHTS OH
44143-2543
US

V. Phone/Fax

Practice location:
  • Phone: 855-967-2436
  • Fax:
Mailing address:
  • Phone: 216-801-8335
  • Fax: 216-801-8335

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163WA0400X
TaxonomyAddiction (Substance Use Disorder) Registered Nurse
License NumberRN252654
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: