| Phillip Emerson Services, Llc | |
|
14701 Detroit Ave Ste 775 Lakewood OH 44107-4120 | |
| (216) 315-3570 | |
| (216) 228-1610 |
| Full Name | Phillip Emerson Services, Llc |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 14701 Detroit Ave Ste 775, Lakewood, Ohio |
| Authorized Official Name and Position | Phillip H Emerson (OWNER) |
| Authorized Official Contact | 2163153570 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Phillip Emerson Services, Llc 14701 Detroit Ave Ste 775 Lakewood OH 44107-4120 Ph: (216) 315-3570 | Phillip Emerson Services, Llc 14701 Detroit Ave Ste 775 Lakewood OH 44107-4120 Ph: (216) 315-3570 |
| NPI Number | 1306419049 |
|---|---|
| Provider Enumeration Date | 07/21/2021 |
| Last Update Date | 07/21/2021 |
| Certification Date | 07/21/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1306419049 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
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