Healthcare Provider Details

I. General information

NPI: 1790781102
Provider Name (Legal Business Name): CENTER FOR EFFECTIVE LIVING
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/22/2005
Last Update Date: 07/29/2025
Certification Date: 07/29/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

24500 CENTER RIDGE RD STE 250
WESTLAKE OH
44145-5602
US

IV. Provider business mailing address

20800 WESTGATE MALL STE 200
FAIRVIEW PARK OH
44126-1323
US

V. Phone/Fax

Practice location:
  • Phone: 440-333-4949
  • Fax: 440-333-5044
Mailing address:
  • Phone: 440-333-4949
  • Fax: 440-333-5044

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103T00000X
TaxonomyPsychologist
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code235Z00000X
TaxonomySpeech-Language Pathologist
License Number
License Number State

VIII. Authorized Official

Name: MS. DEEANNA DILLION
Title or Position: OFFICE MANAGER
Credential:
Phone: 440-333-4949