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Organization
MIND TREK COUNSELING LLC
Active
Organization
MIND TREK COUNSELING LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHIYUE QIN LISW (OWNER)
(216) 777-9587
Entity
Organization
Contact information
Practice address
2460 FAIRMOUNT BLVD STE 209, CLEVELAND HEIGHTS, OH 44106-3125
(216) 777-9587
Mailing address
2460 FAIRMOUNT BLVD STE 209, CLEVELAND HEIGHTS, OH 44106-3125
(216) 777-9587
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
101YP2500X
Professional Counselor
—
—
103TC0700X
Clinical Psychologist
—
—
104100000X
Social Worker
—
—
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
05/02/2021
Last updated
05/02/2021
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