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NPI Code Detail

MEDICARE: LUTHERAN METROPOLITAN MINISTRY

MEDICARE: LUTHERAN METROPOLITAN MINISTRY
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
1101YA0400XAddiction (Substance Use Disorder) Counselor

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
201-0302OTHEROHIO MENTAL HEALTH AND ADDICTION SERVICES

General Provider Information

NPI Number : 1659839041
Entity Type Code : Organization
Provider Name (Legal Business Name) : LUTHERAN METROPOLITAN MINISTRY
Provider Business Mailing Address
First Line : 4515 SUPERIOR AVE
Second Line :
City : CLEVELAND
State : OH
Zip : 44103-1215
Country : US
Telephone Number : 216-623-0959
Fax Number : 216-281-2506
Provider Business Practice Location Address
First Line : 4100 FRANKLIN BLVD
Second Line :
City : CLEVELAND
State : OH
Zip : 44113-2842
Country : US
Telephone Number : 216-281-2500
Fax Number : 216-281-2500
Authorized Official
Title or Position : VP, HWS
Name : LISA SMITH
Credential : LICDC
Telephone Number : 216-281-2500
Provider Enumeration Date : 03/05/2019
Last Update Date : 03/05/2019

Similar Medicare Providers

1154446722 — LUTHERAN FAMILY SERVICES
Practice Location Address:
4100 FRANKLIN BLVD
CLEVELAND, OH
44113-2842
Practice Phone: 216-281-2500
Practice Fax: 216-281-2506
1770888984 — JULIE KUNGL LISW
Practice Location Address:
4100 FRANKLIN BLVD
CLEVELAND, OH
44113-2842
Practice Phone: 216-281-2500
Practice Fax:
1255710570 — MRS. LISA SMITH LICDC, SAP, LPC
Practice Location Address:
4100 FRANKLIN BLVD
CLEVELAND, OH
44113-2842
Practice Phone: 216-623-0959
Practice Fax:
1790281160 — JOHNITA RENEE MCGEE SMITH LSW
Practice Location Address:
4100 FRANKLIN BLVD
CLEVELAND, OH
44113-2842
Practice Phone: 216-281-2500
Practice Fax:
1801392022 — MRS. CAROLYN DIANE PITTS-CLAY BSW, CDCA, OCPSA
Practice Location Address:
4100 FRANKLIN BLVD
CLEVELAND, OH
44113-2842
Practice Phone: 216-281-2500
Practice Fax: 216-281-2506
1669969838 — BARBARA A SWEENEY WILSON
Practice Location Address:
4100 FRANKLIN BLVD
CLEVELAND, OH
44113-2842
Practice Phone: 216-658-4737
Practice Fax: 216-281-2506

Directions to “LUTHERAN METROPOLITAN MINISTRY ” Practice Location

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These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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