MEDICARE: CENTER POINT COUNSELING, INC.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	101YM0800X	Mental Health Counselor	E3311	OH

General Provider Information

NPI Number	:	1053390161
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	CENTER POINT COUNSELING, INC.

Provider Business Mailing Address
First Line	:	115 E AURORA RD
Second Line	:
City	:	NORTHFIELD
State	:	OH
Zip	:	44067-2099
Country	:	US
Telephone Number	:	330-467-1825
Fax Number	:	330-467-4926

Provider Business Practice Location Address
First Line	:	115 E AURORA RD
Second Line	:
City	:	NORTHFIELD
State	:	OH
Zip	:	44067-2099
Country	:	US
Telephone Number	:	330-467-1825
Fax Number	:	330-467-4926

Authorized Official
Title or Position	:	CENTER DIRECTOR
Name	:	MRS. ANITA D DEMETRIADES
Credential	:	L.P.C.C., M.ED.
Telephone Number	:	330-467-1825

Provider Enumeration Date	:	01/17/2006
Last Update Date	:	06/25/2015

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