Organization
EMERGING HOPE BEHAVIORAL SERVICES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. MATTIE DIANN TOWNS-SCOTT LISW-S, LICDC (PSYCHOTHERAPIST)
(216) 224-7080
Entity
Organization
Contact information
Practice address
5845 ROBERTDALE RD, OAKWOOD VILLAGE, OH 44146-2549
(216) 224-7989
(440) 439-4548
Mailing address
5845 ROBERTDALE RD, OAKWOOD VILLAGE, OH 44146-2549
(216) 224-7989
(440) 439-4548
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0402056
—
OH
01
—
1065293
BEACON HEALTH OPTIONS
—
01
—
1341660
CARESOURCE
OH
01
—
14656494
CAQH
—
01
—
5787580
EVERNORTH CARE SOLUTIONS, INC.
—
01
—
601461575
MAGELLAN
OH
01
—
MDTS25493014
OPTUM
OH
Enumeration date
02/01/2022
Last updated
03/24/2022
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