Healthcare Provider Details
I. General information
NPI: 1700792025
Provider Name (Legal Business Name): DREAMS2LIFE COUNSELING SERVICES LLC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 08/19/2026
Last Update Date: 08/19/2026
Certification Date: 08/19/2026
Deactivation Date:
Reactivation Date:
III. Provider practice location address
3922 E ANTISDALE RD
SOUTH EUCLID OH
44118-2332
US
IV. Provider business mailing address
1917 S TAYLOR RD UNIT 318
CLEVELAND HEIGHTS OH
44118-2103
US
V. Phone/Fax
- Phone: 216-415-0872
- Fax:
- Phone: 216-415-0872
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 101YP2500X |
| Taxonomy | Professional Counselor |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name: MRS.
DOMINIQUE
HARWELL
Title or Position: OWNER/CLINICAL DIRECTOR
Credential: LPCC
Phone: 216-415-0872