Organization
LIFEWORKS BEHAVIORAL HEALTH LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LISA SULLIVAN (CREDENTIALING MANAGER)
(440) 453-0754
Entity
Organization
Contact information
Practice address
17325 EUCLID AVE STE 3040, CLEVELAND, OH 44112-1276
(216) 525-3775
Mailing address
858 ROANOKE RD, CLEVELAND HEIGHTS, OH 44121-2054
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0298711
—
OH
Enumeration date
05/05/2022
Last updated
03/17/2023
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