Provider Demographics
NPI:1710281001
Name:BEHAVIORAL HEALTH & WELLNESS LLC
Entity Type:Organization
Organization Name:BEHAVIORAL HEALTH & WELLNESS LLC
Other - Org Name:HEALTH ERESOURCES
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER/THERAPIST/DIETITIAN
Authorized Official - Prefix:MS
Authorized Official - First Name:MIRIAM
Authorized Official - Middle Name:
Authorized Official - Last Name:LANDAU
Authorized Official - Suffix:
Authorized Official - Credentials:L/PCC, RD
Authorized Official - Phone:877-968-3335
Mailing Address - Street 1:400 MEADOW LN
Mailing Address - Street 2:
Mailing Address - City:CUYAHOGA FALLS
Mailing Address - State:OH
Mailing Address - Zip Code:44221-5030
Mailing Address - Country:US
Mailing Address - Phone:877-968-3335
Mailing Address - Fax:866-968-3335
Practice Address - Street 1:400 MEADOW LN
Practice Address - Street 2:
Practice Address - City:CUYAHOGA FALLS
Practice Address - State:OH
Practice Address - Zip Code:44221-5030
Practice Address - Country:US
Practice Address - Phone:877-968-3335
Practice Address - Fax:866-968-3335
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-12-31
Last Update Date:2010-12-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHE3663101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessionalGroup - Multi-Specialty