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General NPI Number Information
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NPI Number | 1801642434
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Entity Type | Organization
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Legal Business Name | CARE IN COMMON
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Dates
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Enumeration Date | 04/25/2024
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Last Update Date | 08/17/2025
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Provider Practice Location Address
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Address Line | 2969 MARTIN LUTHER KING JR DR
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City | CLEVELAND
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State | OH
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Zip | 44104-4865
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Country | US
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Telephone | 440-657-0556
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Fax | 216-274-9696
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Provider Business Mailing Address
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Address Line | 2969 MARTIN LUTHER KING JR DR
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City | CLEVELAND
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State | OH
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Zip | 44104-4865
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Country | US
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Telephone | 440-657-0556
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Fax | 216-274-9696
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Authorized Official
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Title or Position | DIRECTOR
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Name | DARITTA LATHAM
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Credential |
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Telephone | 440-657-0556
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 251B00000X
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Taxonomy Name | Case Management Agency
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 261QA0600X
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Taxonomy Name | Adult Day Care Clinic/Center
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 261QM0850X
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Taxonomy Name | Adult Mental Health Clinic/Center
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License Number |
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License Number State |
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Taxonomy #5
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Taxonomy Code | 261QM0855X
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Taxonomy Name | Adolescent and Children Mental Health Clinic/Center
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License Number |
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License Number State |
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Taxonomy #6
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Taxonomy Code | 385H00000X
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Taxonomy Name | Respite Care
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License Number |
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License Number State |
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Taxonomy #7
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Taxonomy Code | 385HR2055X
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Taxonomy Name | Child Mental Illness Respite Care
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License Number |
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License Number State |
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Taxonomy #8
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Taxonomy Code | 251S00000X
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Taxonomy Name | Community/Behavioral Health Agency
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License Number |
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License Number State |
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