Provider Demographics
NPI:1992004261
Name:TESLER, MICHAEL N (MED LPCC-S)
Entity Type:Individual
Prefix:MR
First Name:MICHAEL
Middle Name:N
Last Name:TESLER
Suffix:
Gender:M
Credentials:MED LPCC-S
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5500 S MARGINAL RD STE 110
Mailing Address - Street 2:
Mailing Address - City:CLEVELAND
Mailing Address - State:OH
Mailing Address - Zip Code:44103-1009
Mailing Address - Country:US
Mailing Address - Phone:216-221-7588
Mailing Address - Fax:216-221-7915
Practice Address - Street 1:5500 S MARGINAL RD STE 110
Practice Address - Street 2:
Practice Address - City:CLEVELAND
Practice Address - State:OH
Practice Address - Zip Code:44103-1009
Practice Address - Country:US
Practice Address - Phone:216-221-7588
Practice Address - Fax:216-221-7915
Is Sole Proprietor?:No
Enumeration Date:2011-03-25
Last Update Date:2021-09-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH161160101YA0400X
OHC0701178101YM0800X
OHE. 0701178101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health