Doctor Name: | MS. KAY ENTE ARIEL |
NPI Number: | 1063501963 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | LISW |
License Number: | I-3066 |
Business Practice Address: | 2460 Fairmount Blvd Suite 320 Cleveland Heights, OH - 441063171 |
Business Phone Number: | 4407796708 |
Business Fax Number: | 2162317235 |
Mailing Address: | 2460 Fairmount Blvd, Suite 320 CLEVELAND HEIGHTS |
State: | OH |
Postal Code: | 441063171 |
Phone Number: | 4407796708 |
Fax Number: | 2162317235 |
NPI Enumeration Date: | 10/11/2006 |
NPI Last Update Date: | 08/18/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YM0800X |
License Number: | I-3066 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | OH |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Mental Health |
Taxonomy Definition: |