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NPI Code Detail

MEDICARE: ATARAYHWH BAHTYHWH

MEDICARE: ATARAYHWH BAHTYHWH
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
2253Z00000XIn Home Supportive Care AgencyOH
3171M00000XCase Manager/Care CoordinatorOH

General Provider Information

NPI Number : 1851804827
Entity Type Code : Individual
Provider Name (Legal Business Name) : ATARAYHWH BAHTYHWH
Provider Business Mailing Address
First Line : 1701 PAYNE AVE
Second Line :
City : CLEVELAND
State : OH
Zip : 44114-2909
Country : US
Telephone Number : 216-259-2070
Fax Number :
Provider Business Practice Location Address
First Line : 1701 PAYNE AVE
Second Line :
City : CLEVELAND
State : OH
Zip : 44114-2909
Country : US
Telephone Number : 216-259-2070
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/13/2017
Last Update Date : 08/01/2025

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Directions to “ ATARAYHWH BAHTYHWH ” Practice Location

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