# ANNE PEARL, LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Ellie Mental Health - Beachwood
- **Organization subpart:** No

## Provider details

- **NPI number:** 1598445918
- **Authorized official:** MR. DEREK L STOVALL-LEONARD (PRESIDENT)
- **Authorized official phone:** (630) 740-5521

## Contact information

- **Practice address:** 25700 SCIENCE PARK DR STE 280, BEACHWOOD, OH 44122-7317
- **Practice address phone:** (216) 285-0468
- **Mailing address:** 5247 WILSON MILLS RD \# 1000, RICHMOND HEIGHTS, OH 44143-3016
- **Mailing address phone:** (216) 285-0468

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 101YA0400X | Addiction (Substance Use Disorder) Counselor | — | NULL | — |
| 101YA0400X | Addiction (Substance Use Disorder) Counselor | — | — | — |
| 101YM0800X | Mental Health Counselor | — | NULL | Yes |
| 101YM0800X | Mental Health Counselor | — | — | Yes |
| 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