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General NPI Number Information
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NPI Number | 1033020326
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Entity Type | Organization
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Legal Business Name | ESSENTIAL DAILY LIVING MENTAL HEALTH AGENCY INC.
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Dates
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Enumeration Date | 09/15/2026
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Last Update Date | 09/15/2026
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Provider Practice Location Address
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Address Line | 2490 LEE BLVD STE 217-102
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City | CLEVELAND HEIGHTS
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State | OH
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Zip | 44118-1406
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Country | US
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Telephone | 216-205-4772
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Fax |
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Provider Business Mailing Address
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Address Line | 2490 LEE BLVD STE 217-102
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City | CLEVELAND HEIGHTS
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State | OH
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Zip | 44118-1406
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Country | US
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Telephone | 216-205-4772
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Fax |
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Authorized Official
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Title or Position | AUTHORIZED AGENT
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Name | ALICIA J DAVIS
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Credential |
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Telephone | 440-423-5737
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 103TP0016X
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Taxonomy Name | Prescribing (Medical) Psychologist
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 104100000X
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Taxonomy Name | Social Worker
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 163WP0808X
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Taxonomy Name | Psychiatric/Mental Health Registered Nurse
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License Number |
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License Number State |
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Taxonomy #5
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Taxonomy Code | 171M00000X
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Taxonomy Name | Case Manager/Care Coordinator
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License Number |
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License Number State |
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Taxonomy #6
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Taxonomy Code | 251S00000X
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Taxonomy Name | Community/Behavioral Health Agency
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License Number |
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License Number State |
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Taxonomy #7
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Taxonomy Code | 261QM0801X
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Taxonomy Name | Mental Health Clinic/Center (Including Community Mental Health Center)
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License Number |
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License Number State |
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Taxonomy #8
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Taxonomy Code | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number |
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License Number State |
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