# KC CENTER FOR HEALTH AND WELLNESS, LLC

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

## Provider details

- **NPI number:** 1669989703
- **Authorized official:** ASHLEY KING MSN, AGNP-C (CEO/FOUNDER)
- **Authorized official phone:** (440) 339-0218

## Contact information

- **Practice address:** 3793 GREEN RD, BEACHWOOD, OH 44122-5705
- **Practice address phone:** (216) 242-2990
- **Practice address fax:** (216) 455-5436
- **Mailing address:** 11811 SHAKER BLVD STE 123, CLEVELAND, OH 44120-1927
- **Mailing address phone:** (162) 232-5302
- **Mailing address fax:** (216) 393-3690

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 2084P0802X | Addiction Psychiatry Physician | — | — | — |
| 261QM0801X | Mental Health Clinic/Center (Including Community Mental Health Center) | — | NULL | Yes |
| 261QR0405X | Substance Use Disorder Rehabilitation Clinic/Center | — | NULL | — |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | — | — | Yes |
| 363LP2300X | Primary Care Nurse Practitioner | — | — | — |

## Other

- **Enumeration date:** 01/09/2018
- **Last updated:** 05/18/2026