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NPI Code Detail

MEDICARE: MS. EMMA BORRELLI LPCC

MEDICARE: MS. EMMA BORRELLI 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
1101YP2500XProfessional CounselorE.2606787OH
2101YM0800XMental Health CounselorC.1500833OH
3101YP2500XProfessional CounselorC.1500833OH

General Provider Information

NPI Number : 1235609702
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. EMMA BORRELLI LPCC
Provider Business Mailing Address
First Line : 1744 PAYNE AVE
Second Line :
City : CLEVELAND
State : OH
Zip : 44114-2910
Country : US
Telephone Number : 216-623-6555
Fax Number :
Provider Business Practice Location Address
First Line : 1744 PAYNE AVE
Second Line :
City : CLEVELAND
State : OH
Zip : 44114-2910
Country : US
Telephone Number : 216-623-6555
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/27/2018
Last Update Date : 04/13/2026

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