Organization
SOPHISTICATED ONE COUNSELING
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANGELA VIOLA SAMPSON (OWNER)
(216) 346-8606
Entity
Organization
Contact information
Practice address
2085 W 87TH ST, CLEVELAND, OH 44102-3813
(216) 346-8608
(216) 273-7974
Mailing address
2085 W 87TH ST, CLEVELAND, OH 44102-3813
(216) 346-8608
(216) 273-7974
Taxonomy
Speciality
Code
Description
License number
State
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0272982
—
OH
Enumeration date
06/14/2018
Last updated
09/08/2025
Update your record
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