# EPICENE PSYCHOLOGICAL LLC

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

## Provider details

- **NPI number:** 1548114515
- **Authorized official:** PAUL LACHER LCDC (CHIEF EXECUTIVE OFFICER)
- **Authorized official phone:** (216) 644-6334

## Contact information

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

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 101YA0400X | Addiction (Substance Use Disorder) Counselor | — | NULL | Yes |
| 101YA0400X | Addiction (Substance Use Disorder) Counselor | — | — | Yes |
| 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