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NPI 1225401235

NPI 1225401235 : ANTHONY CATULLO LPCC-S : MIDDLEBURG HEIGHTS, OH

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General NPI Number Information
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    NPI Number           |    1225401235
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    Entity Type          |    Individual 
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    Provider Name        |    ANTHONY CATULLO LPCC-S
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    Gender               |    Male 
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Dates
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    Enumeration Date     |    11/12/2015
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    Last Update Date     |    01/20/2026
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Provider Practice Location Address
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    Address Line         |    18660 BAGLEY RD STE 306 
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    City                 |    MIDDLEBURG HEIGHTS
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    State                |    OH
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    Zip                  |    44130-3483
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    Country              |    US
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    Telephone            |    216-769-1850
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    8190 WRIGHT RD 
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    City                 |    BROADVIEW HEIGHTS
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    State                |    OH
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    Zip                  |    44147-1444
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    Country              |    US
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    Telephone            |    216-769-1850
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    Fax                  |    
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Authorized Official
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    Title or Position    |    
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    Name                 |        
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    Credential           |    
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    Telephone            |    
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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       |    E. 1200045
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    License Number State |    OH
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