MEDICARE: WILLIAM MOUNT LPC

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.2505103	OH

General Provider Information

NPI Number	:	1215404579
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	WILLIAM MOUNT LPC

Provider Business Mailing Address
First Line	:	PO BOX 72674
Second Line	:
City	:	CLEVELAND
State	:	OH
Zip	:	44192-0001
Country	:	US
Telephone Number	:	216-281-0872
Fax Number	:	216-281-9721

Provider Business Practice Location Address
First Line	:	14625 PURITAS AVE
Second Line	:
City	:	CLEVELAND
State	:	OH
Zip	:	44135-2815
Country	:	US
Telephone Number	:	216-281-0872
Fax Number	:	216-281-9721

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

Provider Enumeration Date	:	10/25/2018
Last Update Date	:	10/31/2025

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Directions to “ WILLIAM MOUNT LPC” Practice Location

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