Organization
ENBODYLIFE
Active
Other names
Enbody
Organization subpart
No
Provider details
NPI number
Authorized official
TIFFINNE PERKINS (CEO)
(216) 415-6818
Entity
Organization
Contact information
Practice address
16808 CHAGRIN BLVD, SHAKER HEIGHTS, OH 44120-3724
(440) 409-2023
(216) 415-6858
Mailing address
1408 S GREEN RD, SOUTH EUCLID, OH 44121-3920
(440) 409-2023
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
—
—
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
—
Other
Enumeration date
01/02/2024
Last updated
05/27/2025
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