MEDICARE: DEBORAH MCGHEE

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	175T00000X	Peer Specialist	0002527	OH
2	101Y00000X	Counselor

General Provider Information

NPI Number	:	1245960699
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DEBORAH MCGHEE

Provider Business Mailing Address
First Line	:	20870 CRYSTAL AVE
Second Line	:
City	:	EUCLID
State	:	OH
Zip	:	44123-2116
Country	:	US
Telephone Number	:	216-370-0856
Fax Number	:

Provider Business Practice Location Address
First Line	:	20870 CRYSTAL AVE
Second Line	:
City	:	CLEVELAND
State	:	OH
Zip	:	44123-2116
Country	:	US
Telephone Number	:	216-370-0856
Fax Number	:

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

Provider Enumeration Date	:	06/16/2022
Last Update Date	:	05/21/2024

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Directions to “ DEBORAH MCGHEE ” Practice Location

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