| Lakewest Dbt Center Llc | |
|
15711 Madison Ave Ste 102 Lakewood OH 44107-5655 | |
| (216) 787-5898 | |
| Not Available |
| Full Name | Lakewest Dbt Center Llc |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 15711 Madison Ave Ste 102, Lakewood, Ohio |
| Authorized Official Name and Position | April Sobieralski (CLINICAL PSYCHOLOGIST) |
| Authorized Official Contact | 2167875898 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Lakewest Dbt Center Llc 15711 Madison Ave Ste 102 Lakewood OH 44107-5655 Ph: (216) 787-5898 | Lakewest Dbt Center Llc 15711 Madison Ave Ste 102 Lakewood OH 44107-5655 Ph: (216) 787-5898 |
| NPI Number | 1073004131 |
|---|---|
| Provider Enumeration Date | 05/24/2018 |
| Last Update Date | 05/24/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1073004131 | NPI | - | NPPES |
| 1073866158 | Medicaid | OH |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | 7261 (Ohio) | Primary |
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