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NPI Code Detail

MEDICARE: BRIAN FEITL

MEDICARE: BRIAN FEITL
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
1106S00000XBehavior TechnicianBACB657330OH
2101YP2500XProfessional CounselorC.2506802OH
3171M00000XCase Manager/Care Coordinator

General Provider Information

NPI Number : 1740985183
Entity Type Code : Individual
Provider Name (Legal Business Name) : BRIAN FEITL
Provider Business Mailing Address
First Line : 2525 E 22ND ST
Second Line :
City : CLEVELAND
State : OH
Zip : 44115-3202
Country : US
Telephone Number : 216-932-2800
Fax Number :
Provider Business Practice Location Address
First Line : 2525 E 22ND ST
Second Line :
City : CLEVELAND
State : OH
Zip : 44115-3202
Country : US
Telephone Number : 216-932-2800
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/04/2023
Last Update Date : 12/16/2025

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Directions to “ BRIAN FEITL ” Practice Location

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