| Integrating Movement And Change Llc | |
|
24500 Center Ridge Rd Ste 130 Westlake OH 44145-5602 | |
| (216) 288-3501 | |
| Not Available |
| Full Name | Integrating Movement And Change Llc |
|---|---|
| Speciality | Clinic/Center |
| Location | 24500 Center Ridge Rd Ste 130, Westlake, Ohio |
| Authorized Official Name and Position | Matthew John Corbett (SOLE PROPRIETOR) |
| Authorized Official Contact | 2162883501 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Integrating Movement And Change Llc 24500 Center Ridge Rd Ste 130 Westlake OH 44145-5602 Ph: (216) 288-3501 | Integrating Movement And Change Llc 24500 Center Ridge Rd Ste 130 Westlake OH 44145-5602 Ph: (216) 288-3501 |
| NPI Number | 1366259376 |
|---|---|
| Provider Enumeration Date | 12/12/2024 |
| Last Update Date | 12/12/2024 |
| Certification Date | 12/12/2024 |
| Medicare PECOS PAC ID | 1355879529 |
|---|---|
| Medicare Enrollment ID | O20250115003560 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1366259376 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
| Provider Name | Matthew J Corbett |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1730497306 PECOS PAC ID: 2264960434 Enrollment ID: I20250115003631 |
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