MEDICARE: PARTNERS TO EMPOWERMENT WELLNESS CENTER

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy
1	101YM0800X	Mental Health Counselor
2	1041C0700X	Clinical Social Worker
3	104100000X	Social Worker

General Provider Information

NPI Number	:	1861821696
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	PARTNERS TO EMPOWERMENT WELLNESS CENTER

Provider Business Mailing Address
First Line	:	3681 GREEN RD
Second Line	:	#406
City	:	BEACHWOOD
State	:	OH
Zip	:	44122-5726
Country	:	US
Telephone Number	:	216-591-1908
Fax Number	:

Provider Business Practice Location Address
First Line	:	3681 GREEN RD
Second Line	:	#406
City	:	BEACHWOOD
State	:	OH
Zip	:	44122-5726
Country	:	US
Telephone Number	:	216-591-1908
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	ARNITA C LEFF
Credential	:
Telephone Number	:	216-591-1908

Provider Enumeration Date	:	11/02/2013
Last Update Date	:	11/02/2013

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Directions to “PARTNERS TO EMPOWERMENT WELLNESS CENTER ” Practice Location

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