| Theodicies Support Llc | |
|
3690 Orange Pl Ste 120 Beachwood OH 44122-4438 | |
| (440) 703-0486 | |
| (216) 472-8748 |
| Full Name | Theodicies Support Llc |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 3690 Orange Pl Ste 120, Beachwood, Ohio |
| Authorized Official Name and Position | Shawna Jackson Young (CLINICAL DIRECTOR) |
| Authorized Official Contact | 4407030486 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Theodicies Support Llc 3690 Orange Pl Ste 120 Beachwood OH 44122-4438 Ph: (440) 703-0486 | Theodicies Support Llc 3690 Orange Pl Ste 120 Beachwood OH 44122-4438 Ph: (440) 703-0486 |
| NPI Number | 1083323430 |
|---|---|
| Provider Enumeration Date | 11/15/2022 |
| Last Update Date | 11/15/2022 |
| Certification Date | 11/15/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1083323430 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
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