Organization
BENHAVEN COUNSELING 2, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DONALD JOSEPH HUPP JR. MSSA, LISW-S (OWNER)
(440) 526-0468
Entity
Organization
Contact information
Practice address
8227 BRECKSVILLE RD, SUITE 104, BRECKSVILLE, OH 44141-1370
(440) 526-0468
(440) 526-0454
Mailing address
8227 BRECKSVILLE RD, SUITE 104, BRECKSVILLE, OH 44141-1370
(440) 526-0468
(440) 526-0454
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
101YM0800X
Mental Health Counselor
—
—
103T00000X
Psychologist
—
—
1041C0700X
Clinical Social Worker
Primary
—
—
164W00000X
Licensed Practical Nurse
—
—
2084P0800X
Psychiatry Physician
—
—
2084P0802X
Addiction Psychiatry Physician
—
—
363L00000X
Nurse Practitioner
—
—
Other
Enumeration date
01/15/2017
Last updated
01/15/2017
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