Organization Name: | CUNNINGHAM COUNSELING ASSOCIATES L.L.C. |
NPI Number: | 1245581180 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | KELLY ELIZABETH CUNNINGHAM (OWNER) |
Mailing Address: | 20525 Detroit Rd Suite 6 Rocky River |
State: | OH US |
Postal Code: | 441162444 |
Phone Number: | 2167675709 |
Fax Number: | |
NPI Enumeration Date: | 10/01/2012 |
NPI Last Update Date: | 12/14/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 1041C0700X |
License Number: | I 0008301 |
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 |