Provider Demographics
NPI:1013371962
Name:CLEVELAND HEALTH AND WELLNESS CENTER
Entity Type:Organization
Organization Name:CLEVELAND HEALTH AND WELLNESS CENTER
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:ELANA
Authorized Official - Middle Name:
Authorized Official - Last Name:HUNTER
Authorized Official - Suffix:
Authorized Official - Credentials:LPCC
Authorized Official - Phone:216-513-2256
Mailing Address - Street 1:20525 DETROIT RD
Mailing Address - Street 2:SUITE 8
Mailing Address - City:ROCKY RIVER
Mailing Address - State:OH
Mailing Address - Zip Code:44116-2444
Mailing Address - Country:US
Mailing Address - Phone:216-777-8834
Mailing Address - Fax:216-502-2291
Practice Address - Street 1:20525 DETROIT RD
Practice Address - Street 2:SUITE 8
Practice Address - City:ROCKY RIVER
Practice Address - State:OH
Practice Address - Zip Code:44116-2444
Practice Address - Country:US
Practice Address - Phone:216-777-8834
Practice Address - Fax:216-502-2291
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-04-07
Last Update Date:2017-01-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Single Specialty