=====================================================
General NPI Number Information
=====================================================
NPI Number | 1790781102
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | CENTER FOR EFFECTIVE LIVING
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 06/22/2005
-----------------------------------------------------
Last Update Date | 07/29/2025
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 24500 CENTER RIDGE RD STE 250
-----------------------------------------------------
City | WESTLAKE
-----------------------------------------------------
State | OH
-----------------------------------------------------
Zip | 44145-5602
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 440-333-4949
-----------------------------------------------------
Fax | 440-333-5044
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 20800 WESTGATE MALL STE 200
-----------------------------------------------------
City | FAIRVIEW PARK
-----------------------------------------------------
State | OH
-----------------------------------------------------
Zip | 44126-1323
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 440-333-4949
-----------------------------------------------------
Fax | 440-333-5044
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | OFFICE MANAGER
-----------------------------------------------------
Name | MS. DEEANNA DILLION
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone | 440-333-4949
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 235Z00000X
-----------------------------------------------------
Taxonomy Name | Speech-Language Pathologist
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------
Taxonomy #2
-----------------------------------------------------
Taxonomy Code | 103T00000X
-----------------------------------------------------
Taxonomy Name | Psychologist
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------