Provider Information for 1811328404
The following NPI(s) contain information matching your search criteria. Please select the NPI to view all the data associated with the NPI.
Please Note: Issuance of an NPI does not ensure or validate that the Health Care Provider is Licensed or Credentialed. For more information please refer to NPI: What You Need to Know
MARY LEE EMRICH LSW, LPCC-S, LICDC
Other Names:Former Name:MARY LEE MIRON LPC, LSWSex: Female
NPI: 1811328404
Last Updated: 2022-06-13
Certification Date: 2022-06-13
Certification Date: 2022-06-13
Details
| Name | Value | ||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| NPI | 1811328404 | ||||||||||||
| Enumeration Date | 2013-12-06 | ||||||||||||
| NPI Type | NPI-1 Individual | ||||||||||||
| Sole Proprietor | NO | ||||||||||||
| Status | Active | ||||||||||||
| Mailing Address | 23875 COMMERCE PARK STE 365 BEACHWOOD, OH 44122-5835 United States Phone: 216-532-3427 | Fax:216-502-2803 | ||||||||||||
| Primary Practice Address | 20525 CENTER RIDGE RD STE 365 ROCKY RIVER, OH 44116-3437 United States Phone: 866-466-9591 | Fax:216-712-6313 | ||||||||||||
| Secondary Practice Address(es) | |||||||||||||
| Health Information Exchange |
| ||||||||||||
| Other Identifiers |
| ||||||||||||
| Taxonomy |
|