MEDICARE: BEGINNING TO HEAL

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	302R00000X	Health Maintenance Organization	LPC005232	GA
2	302R00000X	Health Maintenance Organization	C 0012407	OH

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1497993091
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	BEGINNING TO HEAL

Provider Business Mailing Address
First Line	:	5311 NORTHFIELD RD
Second Line	:	409
City	:	BEDFORD HEIGHTS
State	:	OH
Zip	:	44146-1135
Country	:	US
Telephone Number	:	440-786-8222
Fax Number	:

Provider Business Practice Location Address
First Line	:	5311 NORTHFIELD RD
Second Line	:	409
City	:	BEDFORD HEIGHTS
State	:	OH
Zip	:	44146-1135
Country	:	US
Telephone Number	:	440-786-8222
Fax Number	:

Authorized Official
Title or Position	:	CLINICAL SOCIAL SOCIAL WORKER
Name	:	BARBARA MCCALL
Credential	:	LISW
Telephone Number	:	216-475-3492

Provider Enumeration Date	:	02/04/2009
Last Update Date	:	02/04/2009

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Directions to “BEGINNING TO HEAL ” Practice Location

Language	Start Address	Practice Location

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