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General NPI Number Information
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NPI Number | 1366700775
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Entity Type | Organization
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Legal Business Name | MENTAL HEALTH SERVICES FOR HOMELESS PERSONS, INC.
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Dates
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Enumeration Date | 04/24/2012
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Last Update Date | 10/09/2025
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Provider Practice Location Address
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Address Line | 1744 PAYNE AVE
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City | CLEVELAND
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State | OH
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Zip | 44114-2910
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Country | US
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Telephone | 216-623-6555
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Fax | 216-623-6539
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Provider Business Mailing Address
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Address Line | 1744 PAYNE AVE
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City | CLEVELAND
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State | OH
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Zip | 44114-2910
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Country | US
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Telephone | 216-623-6555
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Fax | 216-623-6539
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Authorized Official
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Title or Position | SENIOR MANAGER OF FFS & IT SYSTEMS
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Name | TARA BIALEK
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Credential | LSW
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Telephone | 216-623-6555
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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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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