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Organization
CONCORD THERAPY SOLUTIONS LLC
Active
Organization
CONCORD THERAPY SOLUTIONS LLC
Active
Other names
Concord Therapy Solutions
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JEFFREY JACK M.A., LPCC (OWNER)
(440) 226-0189
Entity
Organization
Contact information
Practice address
9853 JOHNNYCAKE RIDGE RD STE 202, CONCORD TOWNSHIP, OH 44060-6792
(440) 226-0189
Mailing address
9853 JOHNNYCAKE RIDGE RD STE 202, CONCORD TOWNSHIP, OH 44060-6792
(440) 226-0189
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
261QM0850X
Adult Mental Health Clinic/Center
—
—
261QM0855X
Adolescent and Children Mental Health Clinic/Center
—
—
Other
Enumeration date
02/27/2024
Last updated
02/27/2024
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