Healthcare Provider Details

I. General information

NPI: 1174446744
Provider Name (Legal Business Name): ZION DAVID WARNER
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/31/2026
Last Update Date: 07/31/2026
Certification Date: 07/31/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

22540 LORAIN RD
FAIRVIEW PARK OH
44126-2212
US

IV. Provider business mailing address

1309 W 111TH ST
CLEVELAND OH
44102-1528
US

V. Phone/Fax

Practice location:
  • Phone: 440-734-4037
  • Fax:
Mailing address:
  • Phone: 440-734-4037
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: