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General NPI Number Information
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NPI Number | 1144178922
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Entity Type | Organization
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Legal Business Name | CHAGRIN RIVER COUNSELING LLC
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Dates
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Enumeration Date | 03/18/2026
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Last Update Date | 03/18/2026
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Provider Practice Location Address
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Address Line | 6295 CHAGRIN RIVER RD
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City | CHAGRIN FALLS
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State | OH
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Zip | 44022-3544
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Country | US
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Telephone | 216-509-9011
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Fax |
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Provider Business Mailing Address
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Address Line | 17216 WOOD ACRE TRL
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City | CHAGRIN FALLS
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State | OH
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Zip | 44023-2732
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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 | COUNSELOR
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Name | LISA KIRBY
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Credential | LPCC-S, IMFT
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Telephone | 216-509-9011
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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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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