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Organization

EPICENE PSYCHOLOGICAL LLC

Active
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Organization

EPICENE PSYCHOLOGICAL LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
PAUL LACHER LCDC (CHIEF EXECUTIVE OFFICER)
(216) 644-6334
Entity
Organization

Contact information

Practice address
12765 VINCENT DR, MANTUA, OH 44255-9309
(216) 644-6334
Mailing address
12765 VINCENT DR, MANTUA, OH 44255-9309
(216) 644-6334

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
NULL
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
101YM0800X
Mental Health Counselor
—
NULL
101YM0800X
Mental Health Counselor
—
—
251B00000X
Case Management Agency
—
NULL
251S00000X
Community/Behavioral Health Agency
—
—
276400000X
Substance Use Disorder Rehabilitation Hospital Unit
—
NULL
291U00000X
Clinical Medical Laboratory
—
NULL
405300000X
Prevention Professional
—
NULL
405300000X
Prevention Professional
—
—

Other

Enumeration date
02/25/2026
Last updated
03/02/2026
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