Provider Demographics
NPI:1942910666
Name:PROGRESSIVE PERSPECTIVE MENTAL HEALTH & COMMUNITY ENGAGEMENT
Entity Type:Organization
Organization Name:PROGRESSIVE PERSPECTIVE MENTAL HEALTH & COMMUNITY ENGAGEMENT
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:APRIL
Authorized Official - Middle Name:
Authorized Official - Last Name:HAUGABROOK
Authorized Official - Suffix:
Authorized Official - Credentials:LSW
Authorized Official - Phone:216-421-6314
Mailing Address - Street 1:5007 BELLE MEADOW RD
Mailing Address - Street 2:
Mailing Address - City:MENTOR
Mailing Address - State:OH
Mailing Address - Zip Code:44060-1207
Mailing Address - Country:US
Mailing Address - Phone:216-421-6314
Mailing Address - Fax:
Practice Address - Street 1:5007 BELLE MEADOW RD
Practice Address - Street 2:
Practice Address - City:MENTOR
Practice Address - State:OH
Practice Address - Zip Code:44060-1207
Practice Address - Country:US
Practice Address - Phone:216-421-6314
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-12-05
Last Update Date:2022-12-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health
No251B00000XAgenciesCase Management
No261QM0801XAmbulatory Health Care FacilitiesClinic/CenterMental Health (Including Community Mental Health Center)