Organization
BRYE ROTH LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BRYE ROTH LPCC-S (OWNER)
(440) 454-3243
Entity
Organization
Contact information
Practice address
15644 MADISON AVE STE 216, LAKEWOOD, OH 44107-5622
(440) 508-6765
Mailing address
1527 WINTON AVE, LAKEWOOD, OH 44107-3613
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
—
—
Other
Enumeration date
08/16/2023
Last updated
11/14/2023
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