Organization
PROJECT LIFT BEHAVIORAL HEALTH SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LATOYA LOGAN MSSA LISW-S (EXECUTIVE DIRECTOR)
(216) 789-0942
Entity
Organization
Contact information
Practice address
4415 EUCLID AVE STE 315, CLEVELAND, OH 44103-3759
(216) 789-0942
(216) 918-4308
Mailing address
4415 EUCLID AVE STE 315, CLEVELAND, OH 44103-3759
(216) 789-0942
(216) 918-4308
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
—
—
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0325117
—
OH
Enumeration date
12/23/2020
Last updated
08/02/2021
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
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