| Key Point Health Services Llc | |
|
17325 Euclid Ave Ste 4006 Cleveland OH 44112-1262 | |
| (330) 422-8277 | |
| Not Available |
| Full Name | Key Point Health Services Llc |
|---|---|
| Speciality | Counselor |
| Location | 17325 Euclid Ave Ste 4006, Cleveland, Ohio |
| Authorized Official Name and Position | Chardonay S Brown (CEO) |
| Authorized Official Contact | 2162002442 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Key Point Health Services Llc 17325 Euclid Ave Ste 4006 Cleveland OH 44112-1262 Ph: (330) 422-8277 | Key Point Health Services Llc 17325 Euclid Ave Ste 4006 Cleveland OH 44112-1262 Ph: (330) 422-8277 |
| NPI Number | 1588417232 |
|---|---|
| Provider Enumeration Date | 04/10/2024 |
| Last Update Date | 04/17/2024 |
| Certification Date | 04/17/2024 |
| Medicare PECOS PAC ID | 8224569595 |
|---|---|
| Medicare Enrollment ID | O20240927001884 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1588417232 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | (* (Not Available)) | Secondary |
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
| Provider Name | Chardonay Brown |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1396157426 PECOS PAC ID: 9133650401 Enrollment ID: I20240927002225 |
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