MEDICARE: AVA SPATARO 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	101YM0800X	Mental Health Counselor	C.2405836	OH

General Provider Information

NPI Number	:	1548832603
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	AVA SPATARO LPCC

Provider Business Mailing Address
First Line	:	37313 HARVEST AVE
Second Line	:
City	:	AVON
State	:	OH
Zip	:	44011-2803
Country	:	US
Telephone Number	:	440-370-1385
Fax Number	:

Provider Business Practice Location Address
First Line	:	32625 DETROIT RD
Second Line	:
City	:	AVON
State	:	OH
Zip	:	44011-2013
Country	:	US
Telephone Number	:	440-370-1385
Fax Number	:

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

Provider Enumeration Date	:	07/16/2021
Last Update Date	:	06/04/2026

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Directions to “ AVA SPATARO LPCC” Practice Location

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