Healthcare Provider Details

I. General information

NPI: 1053390161
Provider Name (Legal Business Name): CENTER POINT COUNSELING, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/17/2006
Last Update Date: 06/25/2015
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

115 E AURORA RD
NORTHFIELD OH
44067-2099
US

IV. Provider business mailing address

115 E AURORA RD
NORTHFIELD OH
44067-2099
US

V. Phone/Fax

Practice location:
  • Phone: 330-467-1825
  • Fax: 330-467-4926
Mailing address:
  • Phone: 330-467-1825
  • Fax: 330-467-4926

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License NumberE3311
License Number StateOH

VIII. Authorized Official

Name: MRS. ANITA D DEMETRIADES
Title or Position: CENTER DIRECTOR
Credential: L.P.C.C., M.ED.
Phone: 330-467-1825