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General NPI Number Information
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NPI Number | 1417445297
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Entity Type | Organization
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Legal Business Name | IASC COUNSELING SERVICES INC
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Dates
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Enumeration Date | 04/26/2018
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Last Update Date | 04/26/2018
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Provider Practice Location Address
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Address Line | 8251 MAYFIELD RD STE 202
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City | CHESTERLAND
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State | OH
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Zip | 44026-2567
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Country | US
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Telephone | 216-577-8292
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Fax |
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Provider Business Mailing Address
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Address Line | 8004 WILSON MILLS RD
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City | CHESTERLAND
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State | OH
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Zip | 44026-1853
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Country | US
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Telephone | 216-577-8292
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Fax |
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Authorized Official
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Title or Position | PRESIDENT AND SOCIAL WORKER
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Name | MRS. ISABEL A SANCHEZ CUMMINGS
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Credential | MSSA, LISW, MPA
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Telephone | 440-490-6680
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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 | I.1600358
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License Number State | OH
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Taxonomy #2
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Taxonomy Code | 261QM0850X
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Taxonomy Name | Adult Mental Health Clinic/Center
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License Number | I.1600358
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License Number State | OH
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