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Organization

CENTER FOR EVIDENCE BASED TREATMENT

Active
Parent organization
LUCENE WISNIEWSKI PHD, LLC
Organization subpart
Yes

Provider details

NPI number
Legal business name
LUCENE WISNIEWSKI PHD, LLC
Authorized official
MONIKA MENDELS MS (DIRECTOR OF OPERATIONS)
(216) 544-1321
Entity
Organization

Contact information

Practice address
19910 MALVERN RD STE 220, SHAKER HEIGHTS, OH 44122-2823
(216) 544-1321
(216) 230-4130
Mailing address
19910 MALVERN RD STE 220, SHAKER HEIGHTS, OH 44122-2823
(216) 544-1321
(216) 230-4130

Taxonomy

Speciality
Code
Description
License number
State
101Y00000X
Counselor
101YM0800X
Mental Health Counselor
101YP2500X
Professional Counselor
103T00000X
Psychologist
Primary
103TB0200X
Cognitive & Behavioral Psychologist
103TC0700X
Clinical Psychologist
103TP2701X
Group Psychotherapy Psychologist
104100000X
Social Worker
1041C0700X
Clinical Social Worker

Other

Enumeration date
02/17/2026
Last updated
02/17/2026
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