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NPI Code Detail

MEDICARE: RIVEON MENTAL HEALTH AND RECOVERY

MEDICARE: RIVEON MENTAL HEALTH AND RECOVERY
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
1261QM0801XMental Health Clinic/Center (Including Community Mental Health Center)

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
201147OTHEROHODMH UNIVERSAL PROV. ID

General Provider Information

NPI Number : 1841268281
Entity Type Code : Organization
Provider Name (Legal Business Name) : RIVEON MENTAL HEALTH AND RECOVERY
Provider Business Mailing Address
First Line : 6140 S BROADWAY
Second Line :
City : LORAIN
State : OH
Zip : 44053-3821
Country : US
Telephone Number : 440-233-7232
Fax Number : 440-233-9070
Provider Business Practice Location Address
First Line : 6140 S BROADWAY
Second Line :
City : LORAIN
State : OH
Zip : 44053-3821
Country : US
Telephone Number : 440-233-7232
Fax Number : 440-233-9070
Authorized Official
Title or Position : CHIEF FINANCIAL OFFICER
Name : MELISSA BECK
Credential :
Telephone Number : 440-204-4193
Provider Enumeration Date : 03/10/2006
Last Update Date : 08/16/2024

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1578019857 — JEFFREY C OLEN
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1023975935 — DANIELLE MARIE LOPEZ
Practice Location Address:
6140 S BROADWAY
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44053-3821
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1205793916 — BRITTANY ANNETTE KIDD
Practice Location Address:
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LORAIN, OH
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1730178872 — DR. F GREGORY NOVESKE MD
Practice Location Address:
6140 S BROADWAY
LORAIN, OH
44053-3821
Practice Phone: 440-233-7232
Practice Fax: 440-233-9070

Directions to “RIVEON MENTAL HEALTH AND RECOVERY ” Practice Location

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