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NPI Code Detail

MEDICARE: SAMUEL ELLIOTT BERNHOFER LPCC

MEDICARE: SAMUEL ELLIOTT BERNHOFER LPCC
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
1101YM0800XMental Health CounselorE2404741OH

General Provider Information

NPI Number : 1912426230
Entity Type Code : Individual
Provider Name (Legal Business Name) : SAMUEL ELLIOTT BERNHOFER LPCC
Provider Business Mailing Address
First Line : 4269 PEARL RD
Second Line :
City : CLEVELAND
State : OH
Zip : 44109-4234
Country : US
Telephone Number : 216-431-4131
Fax Number : 216-431-4151
Provider Business Practice Location Address
First Line : 3500 LORAIN AVE STE 300
Second Line :
City : CLEVELAND
State : OH
Zip : 44113-3726
Country : US
Telephone Number : 216-630-4658
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/19/2017
Last Update Date : 04/23/2026

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Directions to “ SAMUEL ELLIOTT BERNHOFER LPCC” Practice Location

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