Individual
GINA N EATON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CDCA QMHSMA CMSMA
Contact information
Practice address
3224 E 123RD ST, CLEVELAND, OH 44120-3850
(216) 990-2143
Mailing address
3224 E 123RD ST, CLEVELAND, OH 44120-3850
(216) 990-2143
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
CDCA170113
OH
171M00000X
Case Manager/Care Coordinator
—
OH
172V00000X
Community Health Worker
Primary
—
—
174400000X
Specialist
—
—
251S00000X
Community/Behavioral Health Agency
—
OH
251X00000X
Supports Brokerage Agency
—
—
332U00000X
Home Delivered Meals
—
—
347C00000X
Private Vehicle
—
—
372600000X
Adult Companion
—
—
374K00000X
Religious Nonmedical Practitioner
—
—
376J00000X
Homemaker
—
—
385HR2060X
Child Intellectual and/or Developmental Disabilities Respite Care
—
—
Other
Enumeration date
06/14/2019
Last updated
12/14/2024
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