Organization
BN WELLNESS GROUP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANTHONY NATHAL LICDC, LMSW (CEO)
(216) 273-3901
Entity
Organization
Contact information
Practice address
2460 FAIRMOUNT BLVD STE 326, CLEVELAND HEIGHTS, OH 44106-3197
(216) 273-3901
Mailing address
2460 FAIRMOUNT BLVD STE 326, CLEVELAND HEIGHTS, OH 44106-3197
(216) 273-3901
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0399620
—
OH
Enumeration date
07/16/2021
Last updated
07/16/2021
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