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NPI Code Detail

MEDICARE: THE RELATIONSHIP CENTER OF NORTHEAST OHIO, LLC

MEDICARE: THE RELATIONSHIP CENTER OF NORTHEAST OHIO, LLC
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
1106H00000XMarriage & Family TherapistF-068OH
2261QM0801XMental Health Clinic/Center (Including Community Mental Health Center)
3101YM0800XMental Health CounselorE-3108OH

General Provider Information

NPI Number : 1205803673
Entity Type Code : Organization
Provider Name (Legal Business Name) : THE RELATIONSHIP CENTER OF NORTHEAST OHIO, LLC
Provider Business Mailing Address
First Line : 2400 WALES AVE NW
Second Line : SUITE K
City : MASSILLON
State : OH
Zip : 44646-0804
Country : US
Telephone Number : 330-833-2452
Fax Number : 330-833-2749
Provider Business Practice Location Address
First Line : 7023 MEARS GATE DR NW STE A
Second Line :
City : NORTH CANTON
State : OH
Zip : 44720-8849
Country : US
Telephone Number : 330-497-2452
Fax Number : 330-497-2749
Authorized Official
Title or Position : OWNER
Name : DR. TERESA ROGERS
Credential : PHD
Telephone Number : 330-497-2452
Provider Enumeration Date : 03/03/2006
Last Update Date : 08/06/2021

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Directions to “THE RELATIONSHIP CENTER OF NORTHEAST OHIO, LLC ” Practice Location

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