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Organization

LIFESTYLE EAP - A DIVISION OF CLEVELAND CLINIC WELLNESS ENTERPRISE LLC

Active
Parent organization
CLEVELAND CLINIC
Organization subpart
Yes

Provider details

NPI number
Legal business name
CLEVELAND CLINIC
Authorized official
JENNIFER HUNTER LISW (DIRECTOR)
(216) 297-8174
Entity
Organization

Contact information

Practice address
1950 RICHMOND RD, TR311, LYNDHURST, OH 44124-3719
(216) 297-8170
(216) 297-8175
Mailing address
1950 RICHMOND RD, TR311, LYNDHURST, OH 44124-3719
(216) 297-8170
(216) 297-8175

Taxonomy

Speciality
Code
Description
License number
State
101Y00000X
Counselor
C-0700043
OH
101Y00000X
Counselor
C7079
OH
101Y00000X
Counselor
E1894
OH
101Y00000X
Counselor
E1969
OH
101Y00000X
Counselor
Primary
E227
OH
101Y00000X
Counselor
E268
OH
101Y00000X
Counselor
E3566
OH
101Y00000X
Counselor
E8382
OH
1041C0700X
Clinical Social Worker
I1765
OH
1041C0700X
Clinical Social Worker
I2297
OH
1041C0700X
Clinical Social Worker
I2573
OH
1041C0700X
Clinical Social Worker
I3770
OH
1041C0700X
Clinical Social Worker
I600123
OH
1041C0700X
Clinical Social Worker
I7333
OH
1041C0700X
Clinical Social Worker
I9501
OH

Other

Enumeration date
04/07/2009
Last updated
04/07/2009
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