MEDICARE: MR. WILLIAM KILEY RITT LPCC, NADD-DDS

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.2303551	OH

General Provider Information

NPI Number	:	1407334824
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MR. WILLIAM KILEY RITT LPCC, NADD-DDS

Provider Business Mailing Address
First Line	:	PO BOX 1464
Second Line	:
City	:	MENTOR
State	:	OH
Zip	:	44061-1464
Country	:	US
Telephone Number	:	440-477-1695
Fax Number	:

Provider Business Practice Location Address
First Line	:	2337 WEST 11TH ST. #10
Second Line	:
City	:	CLEVELAND
State	:	OH
Zip	:	44113-4411
Country	:	US
Telephone Number	:	440-477-1695
Fax Number	:

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

Provider Enumeration Date	:	07/30/2018
Last Update Date	:	09/09/2024

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Directions to “ MR. WILLIAM KILEY RITT LPCC, NADD-DDS” Practice Location

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