Provider Demographics
NPI:1457193732
Name:ONE STOP MENTAL HEALTH CLINIC LLC
Entity type:Organization
Organization Name:ONE STOP MENTAL HEALTH CLINIC LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PMHNP
Authorized Official - Prefix:MS
Authorized Official - First Name:FRANCISCA
Authorized Official - Middle Name:UDUAKU
Authorized Official - Last Name:ONUNAKU
Authorized Official - Suffix:
Authorized Official - Credentials:NP
Authorized Official - Phone:216-799-2217
Mailing Address - Street 1:9901 HILGERT DR
Mailing Address - Street 2:
Mailing Address - City:CLEVELAND
Mailing Address - State:OH
Mailing Address - Zip Code:44104-5340
Mailing Address - Country:US
Mailing Address - Phone:216-799-2177
Mailing Address - Fax:
Practice Address - Street 1:27050 CEDAR RD
Practice Address - Street 2:
Practice Address - City:BEACHWOOD
Practice Address - State:OH
Practice Address - Zip Code:44122-8102
Practice Address - Country:US
Practice Address - Phone:216-799-2217
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-06-08
Last Update Date:2024-06-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental HealthGroup - Single Specialty