Provider Demographics
NPI:1629519731
Name:CLEVELAND COUNSELING, LLC
Entity Type:Organization
Organization Name:CLEVELAND COUNSELING, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/COUNSELOR
Authorized Official - Prefix:
Authorized Official - First Name:AMY
Authorized Official - Middle Name:MARIE
Authorized Official - Last Name:MOORE-RAMIREZ
Authorized Official - Suffix:
Authorized Official - Credentials:LPCC, LSW
Authorized Official - Phone:330-641-2151
Mailing Address - Street 1:1653 MERRIMAN RD
Mailing Address - Street 2:SUITE 200
Mailing Address - City:AKRON
Mailing Address - State:OH
Mailing Address - Zip Code:44313-5210
Mailing Address - Country:US
Mailing Address - Phone:330-306-9362
Mailing Address - Fax:
Practice Address - Street 1:1653 MERRIMAN RD
Practice Address - Street 2:SUITE 200
Practice Address - City:AKRON
Practice Address - State:OH
Practice Address - Zip Code:44313-5210
Practice Address - Country:US
Practice Address - Phone:330-306-9362
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-03-09
Last Update Date:2017-05-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHC.1000572101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessionalGroup - Multi-Specialty