Organization
INTER-CEPT CONSULTANT SERVICES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CYNTHIA MILLER LICDC-CS (CEO)
(216) 402-0684
Entity
Organization
Contact information
Practice address
13303 BEACHWOOD AVE, CLEVELAND, OH 44105-6415
(216) 581-1662
(216) 581-4540
Mailing address
13303 BEACHWOOD AVE, CLEVELAND, OH 44105-6415
(216) 581-1662
(216) 581-4540
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
251S00000X
Community/Behavioral Health Agency
—
—
Other
Enumeration date
01/30/2019
Last updated
01/30/2019
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