Healthcare Provider Details

I. General information

NPI: 1720846728
Provider Name (Legal Business Name): CATHERINE FOYTIK LISW-S
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/13/2024
Last Update Date: 04/06/2026
Certification Date: 04/06/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

11395 CHEYENNE TRL APT 304
PARMA HEIGHTS OH
44130-1997
US

IV. Provider business mailing address

11395 CHEYENNE TRL APT 304
PARMA HEIGHTS OH
44130-1997
US

V. Phone/Fax

Practice location:
  • Phone: 440-409-7373
  • Fax: 440-202-5333
Mailing address:
  • Phone: 440-409-7373
  • Fax: 440-202-5333

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License Number
License Number State

VIII. Authorized Official

Name: CATHERINE FOYTIK
Title or Position: OWNER
Credential: LISW-S
Phone: 440-409-7373