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Organization
ANNE PEARL, LLC
Active
Organization
ANNE PEARL, LLC
Active
Other names
Ellie Mental Health - Beachwood
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DEREK L STOVALL-LEONARD (PRESIDENT)
(630) 740-5521
Entity
Organization
Contact information
Practice address
25700 SCIENCE PARK DR STE 280, BEACHWOOD, OH 44122-7317
(216) 285-0468
Mailing address
5247 WILSON MILLS RD # 1000, RICHMOND HEIGHTS, OH 44143-3016
(216) 285-0468
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
NULL
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
101YM0800X
Mental Health Counselor
Primary
—
NULL
101YM0800X
Mental Health Counselor
Primary
—
—
1041C0700X
Clinical Social Worker
—
NULL
1041C0700X
Clinical Social Worker
—
—
106H00000X
Marriage & Family Therapist
—
NULL
106H00000X
Marriage & Family Therapist
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
—
NULL
261QM0850X
Adult Mental Health Clinic/Center
—
NULL
261QM0855X
Adolescent and Children Mental Health Clinic/Center
—
NULL
Other
Enumeration date
07/20/2023
Last updated
07/20/2023
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