Provider Demographics
NPI:1750984357
Name:ACCESS POINT BEHAVIORAL HEALTH
Entity type:Organization
Organization Name:ACCESS POINT BEHAVIORAL HEALTH
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CLINICAL DIRECTOR
Authorized Official - Prefix:MS
Authorized Official - First Name:CONSUELO
Authorized Official - Middle Name:D
Authorized Official - Last Name:PARKER
Authorized Official - Suffix:
Authorized Official - Credentials:LPC, LICDC
Authorized Official - Phone:216-240-4116
Mailing Address - Street 1:PO BOX 19519
Mailing Address - Street 2:
Mailing Address - City:CLEVELAND
Mailing Address - State:OH
Mailing Address - Zip Code:44119-0519
Mailing Address - Country:US
Mailing Address - Phone:440-319-1859
Mailing Address - Fax:
Practice Address - Street 1:19311 MOHAWK AVE
Practice Address - Street 2:
Practice Address - City:CLEVELAND
Practice Address - State:OH
Practice Address - Zip Code:44119-2201
Practice Address - Country:US
Practice Address - Phone:216-240-4116
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-11-17
Last Update Date:2020-11-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health