CLEVELAND FAMILY THERAPY LLC (NPI# 1710228614) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1710228614 |
| Entity Type | Organization |
| Organization Name | CLEVELAND FAMILY THERAPY LLC |
| Practice Address |
23360 Chagrin Blvd Suite 102 Beachwood OH 44122-5537 |
| Practice Telephone | 4402104763 |
| Mailing Telephone | 4402104763 |
| Enumeration Date | 2013-03-03 |
| Last Update Date | 2013-03-03 |
| Authorized Official Name | MELISSA COAN (OWNER) |
| Authorized Official Telephone | 4402104763 |
| Authorized Official Credential | LCDCIII,PC |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
021164 | OH | Behavioral Health & Social Service Providers |
| Y | 101YP2500X |
Counselor Specialization: Professional |
C0501110 | OH | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OH | 12329204 | 05 |
| Street Address |
23360 CHAGRIN BLVD SUITE 102 |
| City | BEACHWOOD |
| State | OH |
| Zip Code | 44122-5537 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154301323 | Paul F Becker | Psychologist | 23360 Chagrin Blvd, Suite 110, Beachwood, OH 44122-5547 | 2006-01-22 |
| 1972051860 | Helene Cynthia Terezis Phd LLC | Psychologist | 23360 Chagrin Blvd, Suite 110, Beachwood, OH 44122-5547 | 2016-09-20 |
| 1801291752 | Associated Consultants, Inc. | Psychologist | 23360 Chagrin Blvd, Suite 106, Beachwood, OH 44122-5537 | 2014-11-04 |
| 1972840783 | Sara E Roth | Marriage & Family Therapist | 23360 Chagrin Blvd, Suite 102, Beachwood, OH 44122-5547 | 2013-01-14 |
| 1821132416 | Debra Beth Lawrence | Psychologist | 23360 Chagrin Blvd, #205, Beachwood, OH 44122 | 2007-02-16 |
| 1922149905 | David James Udelf | Psychologist | 23360 Chagrin Blvd, Suite 110, Beachwood, OH 44122-5547 | 2007-02-10 |
| 1578619268 | Neuropsychology & Forensic Psychology Specialty Services Ltd | Clinical Neuropsychologist | 23360 Chagrin Blvd, Ste 103, Beachwood, OH 44122-5537 | 2007-01-26 |
| 1497806970 | Suburban Family Services | Social Worker | 23360 Chagrin Blvd, Suite 205, Beachwood, OH 44122-5547 | 2007-01-13 |
| 1114076569 | Ann Marie R Caridi | Counselor | 23360 Chagrin Blvd, Suite 102, Beachwood, OH 44122-5547 | 2007-01-08 |
| 1861409559 | Paula Reshotko | Social Worker | 23360 Chagrin Blvd, Suite 101, Beachwood, OH 44122-5547 | 2006-08-02 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760083174 | Sophia Denise Moncrieffe-jordan | Nurse Practitioner | 23511 Chargin Blvd, Apt. E312, Beachwood, OH 44122 | 2020-11-03 |
| 1447864400 | Resilient Bodies LLC | Massage Therapist | 24300 Chagrin Blvd #312, Beachwood, OH 44122 | 2020-09-06 |
| 1215576087 | Hni Emergency Services of Ohio, LLC | Nurse Practitioner | 22501 Chagrin Blvd, Beachwood, OH 44122 | 2019-12-27 |
| 1013555648 | Barbara L Ekelman Phd Inc | Psychologist | 24100 Chagrin Blvd, Suite 385, Beachwood, OH 44122 | 2019-12-13 |
| 1417599770 | Janise Moore | Technician | 19600 Gladstone Rd, Warrensville Hts, OH 44122 | 2019-10-08 |
| 1598312704 | Nizar Andria | Student in an Organized Health Care Education/Training Program | Cedar Rd 27050, Apartment 515, Beachwood, OH 44122 | 2019-08-22 |
| 1437703998 | Malinda Ann Davis | Social Worker | 20600 Chagrin Blvd Suite 320, Shaker Heights, OH 44122 | 2019-08-01 |
| 1891265864 | Karlan Champagne | Case Management | 23215 Commerence Park, 306, Beachwood, OH 44122 | 2018-12-03 |
| 1952896565 | Donna Pinkney | Counselor | 20550 University Blvd Apt 206, Shaker Hts, OH 44122 | 2018-06-26 |
| 1255825857 | Elizabeth Anne Donathan | Registered Nurse | 4100 Warrensville Center Rd Ste 101, Warrensville Heights, OH 44122 | 2018-06-18 |
| Find all providers in zip 44122 | ||||
| Taxonomy Code | 101YP2500X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Professional |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366075327 | Danielle Sharice Wilson | Counselor | 21400 Chagrin Blvd, Beachwood, OH 44122-5308 | 2020-02-18 |
| 1124565924 | Caitlin Marie Urdiales | Counselor | 3401 Enterprise Pkwy Ste 250, Beachwood, OH 44122-7343 | 2017-01-31 |
| 1568815462 | Lauren M Corsillo | Counselor | 2000 Aurburn Drive, Beachwood, OH 44122 | 2016-07-15 |
| 1992172290 | Noelle Chappelle Zamudio | Counselor | 24100 Chagrin Blvd Ste 370, Beachwood, OH 44122-5535 | 2015-08-21 |
| 1790181832 | Natalie Boyle | Counselor | 417 Barnegat Blvd, Beachwood, NJ 08722-4101 | 2014-11-18 |
| 1538430103 | Angelia Monet Worley | Counselor | 24100 Chagrin Blvd Ste 125, Beachwood, OH 44122 | 2012-01-13 |
| 1538439260 | Tara Nicole Haas | Counselor | 3681 Green Rd Ste 404, Beachwood, OH 44122-5716 | 2012-01-11 |
| 1366712408 | Amy Deeds | Counselor | 24100 Chagrin Boulevard, Suite 400, Beachwood, OH 44122 | 2012-01-06 |
| 1538280433 | Rose Marie Fantelli | Counselor | 23875 Commerce Park Ste 130, Beachwood, OH 44122-5805 | 2007-04-02 |
| 1477630044 | Heather Michelle Wendling | Counselor | 23210 Chagrin Blvd Suite 400, North East Ohio Health Services, Beachwood, OH 44122-5429 | 2006-11-01 |
| Find all providers in BEACHWOOD | ||||
Please comment or provide details below to improve the information on CLEVELAND FAMILY THERAPY 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.