Individual provider · NPI-1

Connie Denise Beard

Case Manager/Care Coordinator · Cleveland, OH

NPI number1699466706
StatusActive
Last updated in NPPESMay 18, 2023

Details

NPI
1699466706
Entity type
Individual (NPI-1)
Name
Ms. Connie Denise Beard
Sex
Female
Sole proprietor
Yes
Enumeration date
May 18, 2023
Certification date
May 12, 2023
Last updated
May 18, 2023

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
171M00000X Case Manager/Care Coordinator––Yes
261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center)––
324500000X Substance Abuse Rehabilitation Facility––

Practice location

5813 Mayfield Rd Ste 203
Cleveland, OH 44124-2937

Phone 216-401-6564

Mailing address

5813 Mayfield Rd Ste 203
Cleveland, OH 44124-2937

Phone 216-401-6564

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