MEDICARE: ASPIRE COUNSELING SERVICES, 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
1	1041C0700X	Clinical Social Worker

General Provider Information

NPI Number	:	1336680024
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ASPIRE COUNSELING SERVICES, LLC

Provider Business Mailing Address
First Line	:	3100 E 45TH ST
Second Line	:	SUITE 232
City	:	CLEVELAND
State	:	OH
Zip	:	44127-1088
Country	:	US
Telephone Number	:	216-633-6281
Fax Number	:	216-927-3795

Provider Business Practice Location Address
First Line	:	3100 E 45TH ST
Second Line	:	SUITE 232
City	:	CLEVELAND
State	:	OH
Zip	:	44127-1088
Country	:	US
Telephone Number	:	216-633-6281
Fax Number	:	216-927-3795

Authorized Official
Title or Position	:	THERAPIST
Name	:	MS. BRITTANY FREESE
Credential	:	LISW
Telephone Number	:	216-633-6281

Provider Enumeration Date	:	03/14/2017
Last Update Date	:	03/14/2017

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