Provider Demographics
NPI:1245907443
Name:SUHOVECKY, ALLISON (LISW)
Entity type:Individual
Prefix:
First Name:ALLISON
Middle Name:
Last Name:SUHOVECKY
Suffix:
Gender:F
Credentials:LISW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8064 SPRINGFIELD DR APT 809
Mailing Address - Street 2:
Mailing Address - City:NORTH ROYALTON
Mailing Address - State:OH
Mailing Address - Zip Code:44133-7019
Mailing Address - Country:US
Mailing Address - Phone:614-984-7238
Mailing Address - Fax:
Practice Address - Street 1:8064 SPRINGFIELD DR APT 809
Practice Address - Street 2:
Practice Address - City:NORTH ROYALTON
Practice Address - State:OH
Practice Address - Zip Code:44133-7019
Practice Address - Country:US
Practice Address - Phone:614-984-7238
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-08-25
Last Update Date:2024-12-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHI.24051621041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical