Provider Demographics
NPI:1790395945
Name:MONEYPENNY, MICHAELA AUDREY (MA)
Entity type:Individual
Prefix:
First Name:MICHAELA
Middle Name:AUDREY
Last Name:MONEYPENNY
Suffix:
Gender:F
Credentials:MA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2316 18TH ST
Mailing Address - Street 2:
Mailing Address - City:CUYAHOGA FALLS
Mailing Address - State:OH
Mailing Address - Zip Code:44223-2003
Mailing Address - Country:US
Mailing Address - Phone:330-715-6640
Mailing Address - Fax:
Practice Address - Street 1:3681 GREEN RD
Practice Address - Street 2:
Practice Address - City:BEACHWOOD
Practice Address - State:OH
Practice Address - Zip Code:44122-5726
Practice Address - Country:US
Practice Address - Phone:216-342-5484
Practice Address - Fax:216-450-1126
Is Sole Proprietor?:No
Enumeration Date:2020-08-03
Last Update Date:2025-08-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHC.2002802101YM0800X
OHE.2505659101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health