# KC CENTER FOR HEALTH AND WELLNESS, LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1013672195
- **Authorized official:** ASHLEY KING APRN-C (CEO)
- **Authorized official phone:** (216) 232-5302

## Contact information

- **Practice address:** 3793 GREEN RD, BEACHWOOD, OH 44122-5705
- **Practice address phone:** (216) 232-5302
- **Practice address fax:** (216) 393-3690
- **Mailing address:** 3793 GREEN RD, BEACHWOOD, OH 44122-5705
- **Mailing address phone:** (216) 232-5302
- **Mailing address fax:** (216) 393-3690

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QM0801X | Mental Health Clinic/Center (Including Community Mental Health Center) | — | NULL | Yes |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | — | — | Yes |
| 385H00000X | Respite Care | — | NULL | — |

## Other

- **Enumeration date:** 11/03/2021
- **Last updated:** 05/18/2026