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Organization
MENTAL HEALTH LIFESTYLE LLC
Active
Organization
MENTAL HEALTH LIFESTYLE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ALISSA WIBLE LISW-S (OWNER)
(440) 574-1794
Entity
Organization
Contact information
Practice address
20525 CENTER RIDGE RD, SUITE 303, ROCKY RIVER, OH 44116-3437
(440) 574-1794
Mailing address
2181 BRIARWOOD RD, CLEVELAND HEIGHTS, OH 44118-2833
(440) 574-1794
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
I 1440201 SUPV
OH
Other
Enumeration date
08/21/2015
Last updated
08/21/2015
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