MEDICARE: LATRICE HARRIS ZUBER

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	RS000004	OH

General Provider Information

NPI Number	:	1841157104
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	LATRICE HARRIS ZUBER

Provider Business Mailing Address
First Line	:	4285 E 133RD ST
Second Line	:
City	:	CLEVELAND
State	:	OH
Zip	:	44105-6401
Country	:	US
Telephone Number	:	216-255-4788
Fax Number	:	216-255-4788

Provider Business Practice Location Address
First Line	:	4285 E 133RD ST
Second Line	:
City	:	CLEVELAND
State	:	OH
Zip	:	44105-6401
Country	:	US
Telephone Number	:	216-255-4788
Fax Number	:	216-255-4788

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

Provider Enumeration Date	:	01/08/2026
Last Update Date	:	01/08/2026

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Directions to “ LATRICE HARRIS ZUBER ” Practice Location

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