Laurel Marie Bassett, LIMFT-S
Individual provider Active NPI Marriage & Family Therapist · Cleveland, OH
NPI 1497909717 · NPPES record last updated Jul 30, 2019
Key facts
- NPI
- 1497909717
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Marriage & Family Therapist 106H00000X
- License
- F.1700019-SUPV (OH)
- Practice address
- 3518 W 25TH St
Cleveland, OH 44109-1951 - Phone
- (216) 741-2241
- Fax
- (216) 739-3638
- NPI assigned
- Nov 13, 2008
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| F.1700019 | OH | MD | Marriage & Family Therapist |
| F.1700019-SUPV | OH | MD | Marriage & Family Therapist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Marriage & Family Therapist | 106H00000X | F.1700019 | OH | |
| Marriage & Family Therapist | 106H00000X | F.1700019-SUPV | OH | Yes |
Addresses
Primary practice location
3518 W 25TH St
Cleveland, OH 44109-1951
Mailing address
3518 W 25TH St
Cleveland, OH 44109-1951
Phone (216) 741-2241
Other providers in Cleveland, OH
- Precious Bass
- Bradley Bassett
- Carrie A Bassett
- Jesse Wendell Bassett
- Kristin Anne Bassett
- Michael Dale Bassett
- Elias Bassil
- Mark Bassim
- Bahar Bassiri Gharb
- Aria Bassiri
All providers in Cleveland, OH · Marriage & Family Therapist in Ohio
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 30, 2019. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.