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NPI Code Detail

MEDICARE: HUMANISTIC COUNSELING CENTER LLC

MEDICARE: HUMANISTIC COUNSELING CENTER 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
1261QM0801XMental Health Clinic/Center (Including Community Mental Health Center)

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1205829090
Entity Type Code : Organization
Provider Name (Legal Business Name) : HUMANISTIC COUNSELING CENTER LLC
Provider Business Mailing Address
First Line : PO BOX 24242
Second Line :
City : CLEVELAND
State : OH
Zip : 44124-0242
Country : US
Telephone Number : 216-839-2273
Fax Number : 216-896-0735
Provider Business Practice Location Address
First Line : 5555 MAYFIELD RD
Second Line :
City : LYNDHURST
State : OH
Zip : 44124-2939
Country : US
Telephone Number : 216-839-2273
Fax Number : 216-896-0735
Authorized Official
Title or Position : DIRECTOR
Name : PAMELA HISER
Credential :
Telephone Number : 216-839-2273
Provider Enumeration Date : 08/26/2005
Last Update Date : 05/04/2023

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Directions to “HUMANISTIC COUNSELING CENTER LLC ” Practice Location

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