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General NPI Number Information
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NPI Number | 1124827175
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Entity Type | Organization
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Legal Business Name | ELLA CENTER
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Dates
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Enumeration Date | 03/12/2025
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Last Update Date | 10/06/2025
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Provider Practice Location Address
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Address Line | 3757 CLEVELAND AVE NW STE 206
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City | CANTON
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State | OH
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Zip | 44709-2374
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Country | US
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Telephone | 330-681-6646
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Fax | 330-681-6368
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Provider Business Mailing Address
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Address Line | 3757 CLEVELAND AVE NW STE 206
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City | CANTON
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State | OH
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Zip | 44709-2374
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Country | US
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Telephone | 330-681-6646
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | EDWARD L LENZY JR.
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Credential | MBA,CDCA
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Telephone | 330-681-6646
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251B00000X
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Taxonomy Name | Case Management Agency
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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 | 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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