Healthcare Provider Details

I. General information

NPI: 1235892423
Provider Name (Legal Business Name): MORNINGSTAR CHILDREN AND FAMILY SERVICES
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/15/2021
Last Update Date: 10/15/2021
Certification Date: 10/15/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

27600 CHAGRIN BLVD STE 475
WOODMERE OH
44122-4421
US

IV. Provider business mailing address

27600 CHAGRIN BLVD STE 475
WOODMERE OH
44122-4421
US

V. Phone/Fax

Practice location:
  • Phone: 216-238-4233
  • Fax:
Mailing address:
  • Phone: 216-238-4233
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code261QC1500X
TaxonomyCommunity Health Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: STEPHANIE HOLLOWAY
Title or Position: OWNER
Credential:
Phone: 216-238-4233