MEDICARE: REBECCA MANOCCHIA

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	101YM0800X	Mental Health Counselor	E.2606074	OH
2	247200000X	Other Technician

General Provider Information

NPI Number	:	1457819732
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	REBECCA MANOCCHIA

Provider Business Mailing Address
First Line	:	600 SUPERIOR AVE
Second Line	:
City	:	CLEVELAND
State	:	OH
Zip	:	44114-2614
Country	:	US
Telephone Number	:	646-941-7645
Fax Number	:	929-596-7897

Provider Business Practice Location Address
First Line	:	600 SUPERIOR AVE
Second Line	:
City	:	CLEVELAND
State	:	OH
Zip	:	44114-2614
Country	:	US
Telephone Number	:	740-996-7100
Fax Number	:

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

Provider Enumeration Date	:	03/06/2019
Last Update Date	:	01/16/2026

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Directions to “ REBECCA MANOCCHIA ” Practice Location

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