Organization · NPI-2
Brookside Counseling LLC
Clinic/Center, Mental Health (Including Community Mental Health Center) · Mayfield Heights, OH
NPI number1326817107
StatusActive
Last updated in NPPESDec 21, 2023
Details
- NPI
- 1326817107
- Entity type
- Organization (NPI-2)
- Legal business name
- Brookside Counseling LLC
- Organization subpart
- No
- Enumeration date
- Dec 21, 2023
- Certification date
- Dec 21, 2023
- Last updated
- Dec 21, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 261QM0801X | Clinic/Center, Mental Health (Including Community Mental Health Center) | – | – | Yes |
Practice location
6426 Longridge RdMayfield Heights, OH 44124-4144
Phone 513-227-2378
Mailing address
6426 Longridge RdMayfield Heights, OH 44124-4144
Phone 513-227-2378
Authorized official
Rachel Poe
Clinical Counselor
5132272378
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