Organization
LAKESHORE HEALTH AND WELLNESS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. MICHELE L WEBER PCC-S (OWNER)
(440) 967-5784
Entity
Organization
Contact information
Practice address
5475 LIBERTY AVE, VERMILION, OH 44089-1333
(440) 963-0402
Mailing address
4143 FIRESTONE LN, VERMILION, OH 44089-3625
(440) 967-5784
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
06/13/2018
Last updated
06/13/2018
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