Organization
THE CENTER FOR INDEPENDENCELLC BEHAVIORAL HEALTH AND SPORT PERFORMANCE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. NANCY LYNN MUSARRA LPCC PHD (OWNER)
(216) 402-8200
Entity
Organization
Contact information
Practice address
1600 E ROYALTON RD, BROADVIEW HEIGHTS, OH 44147-2549
(216) 402-8200
Mailing address
8137 BISHOPS CT, BROADVIEW HTS, OH 44147
(216) 402-8200
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
E0001871
OH
Other
Enumeration date
02/06/2006
Last updated
08/22/2020
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