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General NPI Number Information
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NPI Number | 1508009507
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Entity Type | Organization
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Legal Business Name | LIFESTYLE EAP - A DIVISION OF CLEVELAND CLINIC WELLNESS ENTERPRISE LLC
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Dates
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Enumeration Date | 04/07/2009
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Last Update Date | 04/07/2009
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Provider Practice Location Address
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Address Line | 1950 RICHMOND RD TR311
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City | LYNDHURST
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State | OH
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Zip | 44124-3719
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Country | US
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Telephone | 216-297-8170
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Fax | 216-297-8175
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Provider Business Mailing Address
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Address Line | 1950 RICHMOND RD TR311
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City | LYNDHURST
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State | OH
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Zip | 44124-3719
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Country | US
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Telephone | 216-297-8170
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Fax | 216-297-8175
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Authorized Official
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Title or Position | DIRECTOR
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Name | JENNIFER HUNTER
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Credential | LISW
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Telephone | 216-297-8174
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101Y00000X
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Taxonomy Name | Counselor
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License Number | E268
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License Number State | OH
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Taxonomy #2
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Taxonomy Code | 101Y00000X
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Taxonomy Name | Counselor
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License Number | C-0700043
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License Number State | OH
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Taxonomy #3
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Taxonomy Code | 101Y00000X
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Taxonomy Name | Counselor
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License Number | E1894
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License Number State | OH
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Taxonomy #4
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Taxonomy Code | 101Y00000X
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Taxonomy Name | Counselor
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License Number | C7079
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License Number State | OH
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Taxonomy #5
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Taxonomy Code | 101Y00000X
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Taxonomy Name | Counselor
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License Number | E3566
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License Number State | OH
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Taxonomy #6
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Taxonomy Code | 101Y00000X
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Taxonomy Name | Counselor
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License Number | E1969
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License Number State | OH
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Taxonomy #7
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Taxonomy Code | 101Y00000X
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Taxonomy Name | Counselor
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License Number | E8382
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License Number State | OH
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Taxonomy #8
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | I3770
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License Number State | OH
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Taxonomy #9
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | I2297
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License Number State | OH
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Taxonomy #10
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | I2573
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License Number State | OH
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Taxonomy #11
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | I9501
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License Number State | OH
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Taxonomy #12
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | I1765
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License Number State | OH
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Taxonomy #13
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | I600123
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License Number State | OH
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Taxonomy #14
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | I7333
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License Number State | OH
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Taxonomy #15
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Taxonomy Code | 101Y00000X
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Taxonomy Name | Counselor
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License Number | E227
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License Number State | OH
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