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Organization
LUTHERAN METROPOLITAN MINISTRY
Active
Organization
LUTHERAN METROPOLITAN MINISTRY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LISA SMITH LICDC (VP, HWS)
(216) 281-2500
Entity
Organization
Contact information
Practice address
4100 FRANKLIN BLVD, CLEVELAND, OH 44113-2842
(216) 281-2500
(216) 281-2500
Mailing address
4515 SUPERIOR AVE, CLEVELAND, OH 44103-1215
(216) 623-0959
(216) 281-2506
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
01-0302
OHIO MENTAL HEALTH AND ADDICTION SERVICES
—
05
—
0120865
—
OH
Enumeration date
03/05/2019
Last updated
03/05/2019
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