Farrell Thomas Jr, Care Coordinator/MH
Counselor, Mental Health in Cleveland, OH. Individual provider (NPI-1).
NPI number1104743418
StatusActive
Last updated in NPPESJun 30, 2026
Details
- NPI
- 1104743418
- Entity type
- Individual (NPI-1)
- Name
- Farrell Thomas Jr
- Credential
- Care Coordinator/MH
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Jun 30, 2026
- Certification date
- Jun 30, 2026
- Last updated
- Jun 30, 2026
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 101YM0800X | Counselor, Mental Health | – | – | Yes |
Practice location
3100 Euclid AveCleveland, OH 44115-2508
Phone 216-361-4400 · Fax 216-361-2340
Mailing address
3100 Euclid AveCleveland, OH 44115-2508
Phone 216-361-4400 · Fax 216-361-2340
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