Provider Demographics
NPI:1407083181
Name:JANEL VOLK HUBBARD LLC
Entity Type:Organization
Organization Name:JANEL VOLK HUBBARD LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:JANEL
Authorized Official - Middle Name:
Authorized Official - Last Name:VOLK HUBBARD
Authorized Official - Suffix:
Authorized Official - Credentials:LPCC, OTR/L
Authorized Official - Phone:216-462-0526
Mailing Address - Street 1:6611 ROCKSIDE RD
Mailing Address - Street 2:SUITE 215
Mailing Address - City:INDEPENDENCE
Mailing Address - State:OH
Mailing Address - Zip Code:44131-2365
Mailing Address - Country:US
Mailing Address - Phone:216-462-0526
Mailing Address - Fax:216-524-7773
Practice Address - Street 1:6611 ROCKSIDE RD
Practice Address - Street 2:SUITE 215
Practice Address - City:INDEPENDENCE
Practice Address - State:OH
Practice Address - Zip Code:44131-2365
Practice Address - Country:US
Practice Address - Phone:216-462-0526
Practice Address - Fax:216-524-7773
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-06-19
Last Update Date:2009-06-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHE-0003721101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Single Specialty