| Organization Name: | JEFFREY P LAND LISW-S LLC |
| NPI Number: | 1093139057 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | JEFFREY PETER LAND (SOLE MBR) |
| Mailing Address: | 6449 Wilson Mills Rd Mayfield Village |
| State: | OH US |
| Postal Code: | 441433443 |
| Phone Number: | 4404428800 |
| Fax Number: | 4404428804 |
| NPI Enumeration Date: | 02/11/2014 |
| NPI Last Update Date: | 02/11/2014 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 1041C0700X |
| License Number: | I0001755-SUPV |
| 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 |