Organization
MELISSA PANTEL-KU LISW-S LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MELISSA PANTEL-KU LISW-S (OWNER/MEMBER)
(440) 227-1955
Entity
Organization
Contact information
Practice address
19910 MALVERN RD STE 201, SHAKER HEIGHTS, OH 44122-2823
(440) 227-1955
Mailing address
17666 STOCKTON LN, CHAGRIN FALLS, OH 44023-5741
(440) 227-1955
Taxonomy
Speciality
Code
Description
License number
State
261QM0850X
Adult Mental Health Clinic/Center
Primary
—
—
Other
Enumeration date
01/25/2023
Last updated
05/12/2023
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