Empowering Integrated Care Solutions, Llc | |
23215 Commerce Park Ste 306 Beachwood OH 44122-5843 | |
(216) 532-3427 | |
(216) 502-2803 |
Full Name | Empowering Integrated Care Solutions, Llc |
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Speciality | Clinic/Center |
Location | 23215 Commerce Park Ste 306, Beachwood, Ohio |
Authorized Official Name and Position | Patricia L. Berger (CEO) |
Authorized Official Contact | 2165323427 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Empowering Integrated Care Solutions, Llc 23215 Commerce Park Ste 306 Beachwood OH 44122-5843 Ph: (216) 532-3427 | Empowering Integrated Care Solutions, Llc 23215 Commerce Park Ste 306 Beachwood OH 44122-5843 Ph: (216) 532-3427 |
NPI Number | 1922543982 |
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Provider Enumeration Date | 12/30/2016 |
Last Update Date | 03/07/2017 |
Medicare PECOS PAC ID | 9133403553 |
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Medicare Enrollment ID | O20170303000522 |
Identifier | Type | State | Issuer |
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1922543982 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | 01-7569 (Ohio) | Primary |
Provider Name | Lynne B Behrman |
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Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1326409863 PECOS PAC ID: 2961700059 Enrollment ID: I20160405001936 |
Provider Name | Lila L Jenkins |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1861746240 PECOS PAC ID: 7517110851 Enrollment ID: I20210910000233 |
Provider Name | Elizabeth Delancey-niksa |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1396292108 PECOS PAC ID: 9234591595 Enrollment ID: I20231016000452 |
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