Amy Allison

Individual provider Active NPI Professional Counselor · Beachwood, OH

NPI 1114734340 · NPPES record last updated Dec 11, 2024

Key facts

NPI
1114734340
Entity type
Individual (NPI type 1)
Primary specialty
Professional Counselor 101YP2500X
License
C.2406221 (OH)
Practice address
3401 Enterprise Pkwy Ste 250
Beachwood, OH 44122-7343
Phone
(888) 364-5977
NPI assigned
Dec 11, 2024
Sex
Female
Sole proprietor
Yes

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
C.2406221OHMDProfessional Counselor

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X C.2406221 OH Yes

Addresses

Primary practice location

3401 Enterprise Pkwy Ste 250
Beachwood, OH 44122-7343

Mailing address

1295 Bandana Blvd W, Suite 210
St. Paul, MN 55108
Phone (216) 765-0500

Other providers in Beachwood, OH

All providers in Beachwood, OH · Professional Counselor in Ohio

Sources for this page

Verify at the official NPI Registry.