MEDICARE: YAEL FARKAS 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
1	101Y00000X	Counselor	C.1801473-TRNE	OH
2	101YP2500X	Professional Counselor	E.2202827	OH
3	101YP2500X	Professional Counselor	C.2002484	OH

General Provider Information

NPI Number	:	1477106805
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	YAEL FARKAS LPCC

Provider Business Mailing Address
First Line	:	4405 SILSBY ROAD
Second Line	:
City	:	UNIVERSITY HEIGHTS
State	:	OH
Zip	:	44118
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	4405 SILSBY ROAD
Second Line	:
City	:	UNIVERSITY HEIGHTS
State	:	OH
Zip	:	44118
Country	:	US
Telephone Number	:	216-292-3999
Fax Number	:

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

Provider Enumeration Date	:	07/24/2019
Last Update Date	:	12/12/2024

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