Organization
LAKE AND SKY INTEGRATED SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JAMES HOSTICKA LPCC (OWNER)
(216) 543-5792
Entity
Organization
Contact information
Practice address
1672 MAPLE RD, CLEVELAND HEIGHTS, OH 44121-1732
(216) 543-5792
Mailing address
1672 MAPLE RD, CLEVELAND HEIGHTS, OH 44121-1732
(216) 543-5792
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
101YM0800X
Mental Health Counselor
Primary
—
—
1041C0700X
Clinical Social Worker
—
—
Other
Enumeration date
04/08/2025
Last updated
04/08/2025
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