MEDICARE: MS. DONNA REED COLES LPCC

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	101YP2500X	Professional Counselor	E-0877	OH

General Provider Information

NPI Number	:	1194716696
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. DONNA REED COLES LPCC

Provider Business Mailing Address
First Line	:	850 EUCLID AVE
Second Line	:	SUITE 425
City	:	CLEVELAND
State	:	OH
Zip	:	44114-3306
Country	:	US
Telephone Number	:	216-830-0977
Fax Number	:	216-830-1396

Provider Business Practice Location Address
First Line	:	850 EUCLID AVE
Second Line	:	SUITE 425
City	:	CLEVELAND
State	:	OH
Zip	:	44114-3306
Country	:	US
Telephone Number	:	216-830-0977
Fax Number	:	216-830-1396

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	11/02/2005
Last Update Date	:	07/08/2007

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