LIFEWORKS BEHAVIORAL HEALTH LLC (NPI# 1447758230) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1447758230 |
| Entity Type | Organization |
| Organization Name | LIFEWORKS BEHAVIORAL HEALTH LLC |
| Other Organization Name | LIFEWORKS BEHAVIORAL HEALTH SOLUTIONS |
| Practice Address |
17325 Euclid Ave Ste 3040 Cleveland OH 44112-1276 |
| Practice Telephone | 2166591916 |
| Mailing Telephone | 2166591916 |
| Enumeration Date | 2018-01-26 |
| Last Update Date | 2018-03-17 |
| Authorized Official Name | CRAIG DUNSON (EXECUTIVE DIRECTOR/ CEO) |
| Authorized Official Telephone | 2166591916 |
| Authorized Official Credential | CDCA, PRS-S |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
163407 | OH | Behavioral Health & Social Service Providers |
| Other Name | Type Code |
|---|---|
| Lifeworks Behavioral Health Solutions | Doing Business As Name - Organization |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 2500 Metrohealth Dr, Cleveland, OH 441091900 | 2166591916 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | LIFEWORKS BEHAVIORAL HEALTH LLC | 17325 Euclid Ave Ste 3040, Cleveland, OH 44112-1276 |
| Street Address |
17325 EUCLID AVE STE 3040 |
| City | CLEVELAND |
| State | OH |
| Zip Code | 44112-1276 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538778402 | Trichelle Latrice Banks | Licensed Practical Nurse | 1400 Lakeview Ed, Cleveland, OH 44112 | 2020-07-27 |
| 1437618048 | Paula Williams Mays | Social Worker | 15998 Henley Road, East Cleveland, OH 44112 | 2019-03-14 |
| 1811403801 | Evelyn Lynette Bailey | Counselor | Jordan Community Residential Center, 2231 North Taylor Rd, Cleveland Heights, OH 44112 | 2017-12-28 |
| 1083140800 | Tashel Miller | Nurse's Aide | 1254 Carlson Rd, Cleveland, OH 44112 | 2017-05-11 |
| 1629518675 | Ebony Stephens | Counselor | 13524 Mann Ave, East Cleveland, OH 44112 | 2017-02-24 |
| 1053861708 | Quality Home Care | Home Health | 1252 E. 134th St, East Cleveland, OH 44112 | 2016-10-06 |
| 1780137463 | Lavinia Pope | Registered Nurse | 885 Eloise Dr, Cleveland Heights, OH 44112 | 2016-07-28 |
| 1891147781 | Mary L Gates | Technician | 16156 Forest Hills Blvd, East Cleveland, OH 44112 | 2016-07-05 |
| 1710332085 | M.a.g Pharmacy | Pharmacy | 18325 Euclid Ave, Cleveland, OH 44112 | 2016-04-25 |
| 1467836791 | Sherri Mcarthur | Registered Nurse | 939 Dresden Rd, Cleveland Heights, OH 44112 | 2015-07-16 |
| Find all providers in zip 44112 | ||||
| Taxonomy Code | 101YA0400X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Addiction (Substance Use Disorder) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619578275 | Steps To Wellness, Inc. | Counselor | 3577 East 144h Street, Cleveland, OH 44120 | 2020-11-02 |
| 1215537493 | Christine Moran | Counselor | 3092 W 155th St, Cleveland, OH 44111-1029 | 2020-10-28 |
| 1699301903 | Deon Bushner | Counselor | 1400 E 55th St, Cleveland, OH 44103-1304 | 2020-03-18 |
| 1043842347 | Karen Hill | Counselor | 11100 Saint Clair Ave Ste 228, Cleveland, OH 44108-1943 | 2020-02-05 |
| 1073143657 | Jeff Ward & Associates LLC | Counselor | 12805 Revere Ave, Cleveland, OH 44105-2959 | 2020-01-22 |
| 1952941858 | Danielle Celeste Yates | Counselor | 18019 Parkmount Ave, Cleveland, OH 44135-4127 | 2020-01-09 |
| 1629618590 | Kinneykares, Inc. | Counselor | 1599 E 40th St, Cleveland, OH 44103-2301 | 2020-01-08 |
| 1962048728 | Reliable Hearts | Counselor | 16001 Holmes Ave, Cleveland, OH 44110-2460 | 2019-11-26 |
| 1154966745 | Edith Davis-fletcher | Counselor | 2400 Greenvale Rd, Cleveland, OH 44121-1116 | 2019-11-07 |
| 1285278283 | Lavetta Louise Jonesprice | Counselor | 3830 E 131st St, Cleveland, OH 44120-4664 | 2019-11-01 |
| Find all providers in CLEVELAND | ||||
Please comment or provide details below to improve the information on LIFEWORKS BEHAVIORAL HEALTH LLC.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.