Provider Demographics
NPI:1659810125
Name:HERE FOR YOU ENTERPRISE INC
Entity Type:Organization
Organization Name:HERE FOR YOU ENTERPRISE INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CHIEF EXECUTIVE OFFICER
Authorized Official - Prefix:
Authorized Official - First Name:BERNARD
Authorized Official - Middle Name:DAMON
Authorized Official - Last Name:TAYLOR
Authorized Official - Suffix:
Authorized Official - Credentials:LICDC
Authorized Official - Phone:330-945-0330
Mailing Address - Street 1:333 S MAIN ST STE 511
Mailing Address - Street 2:
Mailing Address - City:AKRON
Mailing Address - State:OH
Mailing Address - Zip Code:44308-1222
Mailing Address - Country:US
Mailing Address - Phone:234-334-3406
Mailing Address - Fax:234-334-3456
Practice Address - Street 1:333 S MAIN ST STE 511
Practice Address - Street 2:
Practice Address - City:AKRON
Practice Address - State:OH
Practice Address - Zip Code:44308-1222
Practice Address - Country:US
Practice Address - Phone:234-334-3406
Practice Address - Fax:234-334-3456
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-02-17
Last Update Date:2017-02-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH151226101Y00000X, 101YA0400X, 251B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)Group - Single Specialty
No101Y00000XBehavioral Health & Social Service ProvidersCounselorGroup - Single Specialty
No251B00000XAgenciesCase ManagementGroup - Single Specialty