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Organization
PROSPER BEHAVIORAL HEALTH SERVICES LLC
Active
Organization
PROSPER BEHAVIORAL HEALTH SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JASON D JORDAN LSW, LICDC-GAMB (OWNER)
(440) 662-3639
Entity
Organization
Contact information
Practice address
216 W 30TH ST, LORAIN, OH 44055-1173
(440) 662-3639
Mailing address
216 W 30TH ST, LORAIN, OH 44055-1173
(440) 662-3639
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
—
—
Other
Enumeration date
04/07/2026
Last updated
07/11/2026
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