Ashley Black, QMHS
Case Manager/Care Coordinator in Willoughby, OH. Individual provider (NPI-1).
NPI number1457136780
StatusActive
Last updated in NPPESAug 25, 2023
Details
- NPI
- 1457136780
- Entity type
- Individual (NPI-1)
- Name
- Ashley Black
- Credential
- QMHS
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Aug 25, 2023
- Certification date
- Aug 25, 2023
- Last updated
- Aug 25, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 171M00000X | Case Manager/Care Coordinator | – | – | Yes |
Practice location
37721 Vine St Ste 1Willoughby, OH 44094-6256
Phone 440-525-5305 · Fax 216-525-5235
Mailing address
37721 Vine St Ste 1Willoughby, OH 44094-6256
Phone 440-525-5305 · Fax 216-525-5235
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