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General NPI Number Information
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NPI Number | 1417420456
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Entity Type | Organization
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Legal Business Name | GREENBROOK TMS CLEVELAND LLC
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Dates
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Enumeration Date | 01/02/2019
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Last Update Date | 04/21/2025
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Provider Practice Location Address
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Address Line | 4807 ROCKSIDE RD STE 450
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City | INDEPENDENCE
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State | OH
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Zip | 44131-2192
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Country | US
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Telephone | 855-711-4867
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 950625
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City | SAINT LOUIS
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State | MO
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Zip | 63195-0625
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Country | US
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Telephone | 855-711-4867
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Fax | 641-800-3145
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Authorized Official
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Title or Position | PRESIDENT
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Name | WILLIAM LEONARD
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Credential |
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Telephone | 832-303-9821
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261Q00000X
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Taxonomy Name | Clinic/Center
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License Number |
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License Number State |
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