=====================================================
General NPI Number Information
=====================================================
NPI Number | 1669136883
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | FROM ME 2 U, INC.
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 10/25/2021
-----------------------------------------------------
Last Update Date | 10/25/2021
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 13125 SHAKER SQ STE 101
-----------------------------------------------------
City | CLEVELAND
-----------------------------------------------------
State | OH
-----------------------------------------------------
Zip | 44120-2399
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 216-307-6328
-----------------------------------------------------
Fax | 216-306-5618
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 13125 SHAKER SQ STE 101
-----------------------------------------------------
City | CLEVELAND
-----------------------------------------------------
State | OH
-----------------------------------------------------
Zip | 44120-2399
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 216-307-6328
-----------------------------------------------------
Fax | 216-306-5618
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | FOUNDER AND EXECUTIVE DIRECTOR
-----------------------------------------------------
Name | MS. LYDIA HILL
-----------------------------------------------------
Credential | PC
-----------------------------------------------------
Telephone | 216-307-6328
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 251S00000X
-----------------------------------------------------
Taxonomy Name | Community/Behavioral Health Agency
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------
Taxonomy #2
-----------------------------------------------------
Taxonomy Code | 101YP2500X
-----------------------------------------------------
Taxonomy Name | Professional Counselor
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------