Healthcare Provider Details

I. General information

NPI: 1235288861
Provider Name (Legal Business Name): FAMILY BEHAVIORAL HEALTH CARE, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/10/2007
Last Update Date: 04/29/2024
Certification Date: 04/29/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6700 BETA DR STE 108
MAYFIELD VILLAGE OH
44143-2335
US

IV. Provider business mailing address

6700 BETA DR STE 108
MAYFIELD VILLAGE OH
44143-2335
US

V. Phone/Fax

Practice location:
  • Phone: 440-460-0140
  • Fax: 440-460-5413
Mailing address:
  • Phone: 440-460-0140
  • Fax: 440-460-5413

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: MR. WILLIAM THOMAS ELWOOD
Title or Position: OWNER
Credential: LPCC
Phone: 440-460-0140