MEDICARE: ADAM SPACAGNA

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		OH

General Provider Information

NPI Number	:	1780548677
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ADAM SPACAGNA

Provider Business Mailing Address
First Line	:	6252 W BREEZEWAY DR
Second Line	:
City	:	NORTH RIDGEVILLE
State	:	OH
Zip	:	44039-5145
Country	:	US
Telephone Number	:	216-339-4554
Fax Number	:

Provider Business Practice Location Address
First Line	:	6252 W BREEZEWAY DR
Second Line	:
City	:	NORTH RIDGEVILLE
State	:	OH
Zip	:	44039-5145
Country	:	US
Telephone Number	:	216-339-4554
Fax Number	:

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

Provider Enumeration Date	:	12/15/2025
Last Update Date	:	12/15/2025

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Directions to “ ADAM SPACAGNA ” Practice Location

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