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General NPI Number Information
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NPI Number | 1134076706
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Entity Type | Organization
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Legal Business Name | YOUTH FORWARD COLLECTIVE LLC
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Dates
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Enumeration Date | 03/12/2026
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Last Update Date | 03/12/2026
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Provider Practice Location Address
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Address Line | 4614 PROSPECT AVE STE 421
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City | CLEVELAND
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State | OH
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Zip | 44103-4379
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Country | US
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Telephone | 216-584-8114
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Fax |
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Provider Business Mailing Address
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Address Line | 4614 PROSPECT AVE STE 421
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City | CLEVELAND
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State | OH
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Zip | 44103-4379
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | DIRECTOR OF OPERATIONS
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Name | LAKEITHA MORGAN
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Credential |
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Telephone | 216-584-8114
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101Y00000X
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Taxonomy Name | 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 | 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 #3
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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 #4
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Taxonomy Code | 343900000X
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Taxonomy Name | Non-emergency Medical Transport (VAN)
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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 | 385H00000X
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Taxonomy Name | Respite Care
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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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