Organization
EPICENE PSYCHOLOGICAL LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PAUL LACHER LCDC (CHIEF EXECUTIVE OFFICER)
(216) 644-6334
Entity
Organization
Contact information
Practice address
12765 VINCENT DR, MANTUA, OH 44255-9309
(216) 644-6334
Mailing address
12765 VINCENT DR, MANTUA, OH 44255-9309
(216) 644-6334
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
101YM0800X
Mental Health Counselor
—
—
251B00000X
Case Management Agency
—
—
251S00000X
Community/Behavioral Health Agency
—
—
276400000X
Substance Use Disorder Rehabilitation Hospital Unit
—
—
291U00000X
Clinical Medical Laboratory
—
—
405300000X
Prevention Professional
—
—
Other
Enumeration date
02/25/2026
Last updated
03/02/2026
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