Provider Demographics
NPI:1780056366
Name:COMPASSIONATE COLLABORATIONS, LLP
Entity type:Organization
Organization Name:COMPASSIONATE COLLABORATIONS, LLP
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:ELIZABETH
Authorized Official - Middle Name:
Authorized Official - Last Name:BRADY-TOOMEY
Authorized Official - Suffix:
Authorized Official - Credentials:PCC-S
Authorized Official - Phone:216-744-3261
Mailing Address - Street 1:15520 FRICK CT
Mailing Address - Street 2:
Mailing Address - City:CLEVELAND
Mailing Address - State:OH
Mailing Address - Zip Code:44111-2014
Mailing Address - Country:US
Mailing Address - Phone:216-373-2659
Mailing Address - Fax:216-373-2659
Practice Address - Street 1:600 SUPERIOR AVE E STE 1300
Practice Address - Street 2:
Practice Address - City:CLEVELAND
Practice Address - State:OH
Practice Address - Zip Code:44114-2654
Practice Address - Country:US
Practice Address - Phone:216-373-2659
Practice Address - Fax:216-373-2659
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-10-22
Last Update Date:2023-10-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHE.100026101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH0164527Medicaid
OH0191329Medicaid