Individual
BETHANY AMANDA O'NEAL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
QMHS CMS
Contact information
Practice address
12557 RAVENWOOD DR, CHARDON, OH 44024-9009
(440) 285-3568
Mailing address
12557 RAVENWOOD DR, CHARDON, OH 44024-9009
(440) 285-3568
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
OH
172V00000X
Community Health Worker
—
OH
Other
Enumeration date
10/25/2021
Last updated
01/28/2026
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