Provider Demographics
NPI:1083287239
Name:INNER SEEKER COUNSELING LLC
Entity Type:Organization
Organization Name:INNER SEEKER COUNSELING LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:LICENSED CLINICAL COUNSELOR
Authorized Official - Prefix:
Authorized Official - First Name:ANNA
Authorized Official - Middle Name:MELISSA
Authorized Official - Last Name:MYTKO
Authorized Official - Suffix:
Authorized Official - Credentials:LPCC
Authorized Official - Phone:216-202-5196
Mailing Address - Street 1:PO BOX 24166
Mailing Address - Street 2:
Mailing Address - City:CLEVELAND
Mailing Address - State:OH
Mailing Address - Zip Code:44124-0166
Mailing Address - Country:US
Mailing Address - Phone:440-715-5691
Mailing Address - Fax:
Practice Address - Street 1:1513 MARS AVE
Practice Address - Street 2:
Practice Address - City:LAKEWOOD
Practice Address - State:OH
Practice Address - Zip Code:44107-3822
Practice Address - Country:US
Practice Address - Phone:216-202-5196
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-07-23
Last Update Date:2021-07-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0850XAmbulatory Health Care FacilitiesClinic/CenterAdult Mental Health