Organization
LAURA GELLER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LAURA GELLER (OWNER)
(440) 230-6121
Entity
Organization
Contact information
Practice address
171 FOREST ST, OBERLIN, OH 44074-1507
(440) 230-6121
Mailing address
171 FOREST ST, OBERLIN, OH 44074-1507
(440) 230-6121
Taxonomy
Speciality
Code
Description
License number
State
261QM0850X
Adult Mental Health Clinic/Center
—
—
261QM0855X
Adolescent and Children Mental Health Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0413334
—
OH
Enumeration date
02/04/2021
Last updated
03/24/2021
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