Healthcare Provider Details

I. General information

NPI: 1700614807
Provider Name (Legal Business Name): MS. KRISTEN EILEEN SYLVESTER
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/22/2024
Last Update Date: 07/18/2025
Certification Date: 07/18/2025
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

2035 LAKELAND AVE
LAKEWOOD OH
44107-5713
US

V. Phone/Fax

Practice location:
  • Phone: 440-508-6928
  • Fax:
Mailing address:
  • Phone: 216-903-3570
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code104100000X
TaxonomySocial Worker
License NumberS.2512238
License Number StateOH
# 2
Primary TaxonomyN
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number
License Number StateNULL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: