Glovan Pollak And Associates LLC
Psychologist, Clinical in Mentor, OH. Organization (NPI-2).
NPI number1467872689
StatusActive
Last updated in NPPESSep 24, 2020
Details
- NPI
- 1467872689
- Entity type
- Organization (NPI-2)
- Legal business name
- Glovan Pollak And Associates LLC
- Organization subpart
- No
- Enumeration date
- Apr 27, 2014
- Certification date
- Sep 24, 2020
- Last updated
- Sep 24, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 103TC0700X | Psychologist, Clinical | – | – | Yes |
| 1041C0700X | Social Worker, Clinical | – | – | |
| 261Q00000X | Clinic/Center | – | – | |
| 261QM0801X | Clinic/Center, Mental Health (Including Community Mental Health Center) | – | – | |
| 101Y00000X | Counselor | 2273274 | OH | |
| 101YA0400X | Counselor, Addiction (Substance Use Disorder) | – | – |
Other names
- The Behavioral Wellness Group (Doing Business As)
Practice location
8224 Mentor AveSuite 208
Mentor, OH 44060
Phone 440-392-2222 · Fax 440-565-2349
Mailing address
8224 Mentor AveSuite 208
Mentor, OH 44060-5768
Phone 440-392-2222 · Fax 440-565-2349
Authorized official
Michael J Pollak
Owner
4403922222
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