Healthcare Provider Details

I. General information

NPI: 1568948107
Provider Name (Legal Business Name): CLE COUNSELING LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/17/2018
Last Update Date: 05/09/2023
Certification Date: 05/09/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

24500 CENTER RIDGE RD STE 120
WESTLAKE OH
44145-5602
US

IV. Provider business mailing address

24500 CENTER RIDGE RD STE 120
WESTLAKE OH
44145-5602
US

V. Phone/Fax

Practice location:
  • Phone: 216-406-8802
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101Y00000X
TaxonomyCounselor
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code101YA0400X
TaxonomyAddiction (Substance Use Disorder) Counselor
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number State

VIII. Authorized Official

Name: SAMANTHA WILLI
Title or Position: MEMBER
Credential: LPCC
Phone: 216-406-8802