Provider Demographics
NPI:1609525930
Name:SANGHACARE COUNSELING LLC
Entity Type:Organization
Organization Name:SANGHACARE COUNSELING LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT/OWNER
Authorized Official - Prefix:
Authorized Official - First Name:SUSAN
Authorized Official - Middle Name:
Authorized Official - Last Name:RAKOW
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:440-241-0763
Mailing Address - Street 1:19910 MALVERN RD # 226
Mailing Address - Street 2:
Mailing Address - City:SHAKER HTS
Mailing Address - State:OH
Mailing Address - Zip Code:44122-2823
Mailing Address - Country:US
Mailing Address - Phone:216-570-4976
Mailing Address - Fax:
Practice Address - Street 1:19910 MALVERN RD # 226
Practice Address - Street 2:
Practice Address - City:SHAKER HTS
Practice Address - State:OH
Practice Address - Zip Code:44122-2823
Practice Address - Country:US
Practice Address - Phone:216-570-4976
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-03-23
Last Update Date:2022-03-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessionalGroup - Multi-Specialty