Organization
GLOVAN POLLAK AND ASSOCIATES LLC
Active
Other names
The Behavioral Wellness Group
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MICHAEL J POLLAK PCC, LICDC (OWNER)
(440) 392-2222
Entity
Organization
Contact information
Practice address
8224 MENTOR AVE, SUITE 208, MENTOR, OH 44060
(440) 392-2222
(440) 565-2349
Mailing address
8224 MENTOR AVE, SUITE 208, MENTOR, OH 44060-5768
(440) 392-2222
(440) 565-2349
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
2273274
OH
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
103TC0700X
Clinical Psychologist
Primary
—
—
1041C0700X
Clinical Social Worker
—
—
261Q00000X
Clinic/Center
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0216770
—
OH
Enumeration date
04/27/2014
Last updated
09/24/2020
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