| Organization Name: | THEOPHILUS ARTHUR-MENSAH MD INC |
| NPI Number: | 1083934806 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | LISA SULLIVAN (OFFICE MANAGER) |
| Mailing Address: | 3600 Kolbe Rd Suite 011 Lorain |
| State: | OH US |
| Postal Code: | 44053 |
| Phone Number: | 4409892819 |
| Fax Number: | 4409892055 |
| NPI Enumeration Date: | 06/03/2010 |
| NPI Last Update Date: | 06/03/2010 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 1041C0700X |
| License Number: | S.0011636 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | OH |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Social Worker |
| Taxonomy Specialization: | Clinical |
| Taxonomy Definition: | A social worker who holds a master |