Provider Demographics
NPI:1235428350
Name:MARGARET BOHN-GALAS,MSSA,LISW-S, LLC
Entity Type:Organization
Organization Name:MARGARET BOHN-GALAS,MSSA,LISW-S, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SOLE PROPRIETOR
Authorized Official - Prefix:MS
Authorized Official - First Name:MARGARET
Authorized Official - Middle Name:
Authorized Official - Last Name:BOHN-GALAS
Authorized Official - Suffix:
Authorized Official - Credentials:LISW-S
Authorized Official - Phone:440-290-9186
Mailing Address - Street 1:1535 NEWTON PASS
Mailing Address - Street 2:
Mailing Address - City:BROADVIEW HTS
Mailing Address - State:OH
Mailing Address - Zip Code:44147-3632
Mailing Address - Country:US
Mailing Address - Phone:440-290-9186
Mailing Address - Fax:
Practice Address - Street 1:8748 BRECKSVILLE RD
Practice Address - Street 2:SUITE 245
Practice Address - City:BRECKSVILLE
Practice Address - State:OH
Practice Address - Zip Code:44141-1913
Practice Address - Country:US
Practice Address - Phone:440-290-9186
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-03-29
Last Update Date:2011-03-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHI.0007620305S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes305S00000XManaged Care OrganizationsPoint of Service