Provider Demographics
NPI:1710855309
Name:REEL HEALING LLC
Entity type:Organization
Organization Name:REEL HEALING LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:LAVON
Authorized Official - Middle Name:CHARMAINE
Authorized Official - Last Name:IVY
Authorized Official - Suffix:
Authorized Official - Credentials:CASE MANAGER
Authorized Official - Phone:216-303-1943
Mailing Address - Street 1:4010 E 150TH ST
Mailing Address - Street 2:
Mailing Address - City:CLEVELAND
Mailing Address - State:OH
Mailing Address - Zip Code:44128-1157
Mailing Address - Country:US
Mailing Address - Phone:216-319-7367
Mailing Address - Fax:
Practice Address - Street 1:4010 E 150TH ST
Practice Address - Street 2:
Practice Address - City:CLEVELAND
Practice Address - State:OH
Practice Address - Zip Code:44128-1157
Practice Address - Country:US
Practice Address - Phone:216-319-7367
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-10-27
Last Update Date:2025-10-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes376J00000XNursing Service Related ProvidersHomemakerGroup - Multi-Specialty