Provider Demographics
NPI:1952436875
Name:BURKHAMMER & ASSOCIATES, LLC
Entity Type:Organization
Organization Name:BURKHAMMER & ASSOCIATES, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:LICENSED PROFESSIONAL COUNSELOR
Authorized Official - Prefix:
Authorized Official - First Name:EUGENE
Authorized Official - Middle Name:J
Authorized Official - Last Name:BURKHAMMER
Authorized Official - Suffix:
Authorized Official - Credentials:LPC
Authorized Official - Phone:440-667-6441
Mailing Address - Street 1:10571 MAYFIELD RD
Mailing Address - Street 2:
Mailing Address - City:CHESTERLAND
Mailing Address - State:OH
Mailing Address - Zip Code:44026-2735
Mailing Address - Country:US
Mailing Address - Phone:440-667-6441
Mailing Address - Fax:
Practice Address - Street 1:1463 WARRENSVILLE CENTER RD
Practice Address - Street 2:SUITE 202
Practice Address - City:SOUTH EUCLID
Practice Address - State:OH
Practice Address - Zip Code:44121-2676
Practice Address - Country:US
Practice Address - Phone:440-667-6441
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-02-22
Last Update Date:2008-04-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH0008105101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH294305035007OtherMEDICAL MUTUAL
OH000000550826OtherANTHEM
OH0313557Medicaid
OH000000550826OtherANTHEM