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NPI Code Detail

MEDICARE: ANNA PERRIELLO-MAYER LPCC-S, LICDC

MEDICARE:   ANNA  PERRIELLO-MAYER  LPCC-S, LICDC
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
1101YP2500XProfessional CounselorE.0008418-SUPVOH
2101YA0400XAddiction (Substance Use Disorder) Counselor151094OH

General Provider Information

NPI Number : 1619338969
Entity Type Code : Individual
Provider Name (Legal Business Name) : ANNA PERRIELLO-MAYER LPCC-S, LICDC
Provider Business Mailing Address
First Line : 10427 DETROIT AVE
Second Line :
City : CLEVELAND
State : OH
Zip : 44102-1645
Country : US
Telephone Number : 216-521-6511
Fax Number : 216-521-4006
Provider Business Practice Location Address
First Line : 10427 DETROIT AVE
Second Line :
City : CLEVELAND
State : OH
Zip : 44102-1645
Country : US
Telephone Number : 216-521-6511
Fax Number : 216-521-4006
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/15/2016
Last Update Date : 12/18/2025

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Directions to “ ANNA PERRIELLO-MAYER LPCC-S, LICDC” Practice Location

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