Healthcare Provider Details

I. General information

NPI: 1275684581
Provider Name (Legal Business Name): GARY MARK ECHT LPCC LICDC
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 01/15/2007
Last Update Date: 01/14/2026
Certification Date: 01/14/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8440 STATION ST
MENTOR OH
44060-4925
US

IV. Provider business mailing address

8440 STATION ST
MENTOR OH
44060-4925
US

V. Phone/Fax

Practice location:
  • Phone: 440-944-6565
  • Fax: 440-944-0489
Mailing address:
  • Phone: 440-944-6565
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number0002461
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: