Provider Demographics
NPI:1508641952
Name:LINKED COMMUNITY HEALTH AND WELLNESS
Entity Type:Organization
Organization Name:LINKED COMMUNITY HEALTH AND WELLNESS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:JAMILYA
Authorized Official - Middle Name:
Authorized Official - Last Name:ASHLEY NEWELL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:216-235-3952
Mailing Address - Street 1:8302 JEFFRIES AVE
Mailing Address - Street 2:
Mailing Address - City:CLEVELAND
Mailing Address - State:OH
Mailing Address - Zip Code:44105-6563
Mailing Address - Country:US
Mailing Address - Phone:216-235-3952
Mailing Address - Fax:
Practice Address - Street 1:1440 ROCKSIDE RD STE 118
Practice Address - Street 2:
Practice Address - City:PARMA
Practice Address - State:OH
Practice Address - Zip Code:44134-2749
Practice Address - Country:US
Practice Address - Phone:216-235-3952
Practice Address - Fax:216-274-9177
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-08-25
Last Update Date:2023-08-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health