Northeast Ohio Behavioral Health

Organization Active NPI Mental Health Counselor · North Canton, OH

NPI 1679699573 · NPPES record last updated Aug 22, 2020

Key facts

NPI
1679699573
Entity type
Organization (NPI type 2)
Primary specialty
Mental Health Counselor 101YM0800X
License
0483 (OH)
Legal business name
NORTHEAST OHIO BEHAVIORAL HEALTH
Practice address
4347 Portage St NW
Suite 103
North Canton, OH 44720-7371
Phone
(330) 494-5155
Fax
(330) 494-6868
NPI assigned
Mar 22, 2007
Organization subpart
No

Authorized official

Name
Dr. Robin R. Tener, PH.D.
Title
Director
Phone
(330) 945-7100

Corporate family (same tax ID) 1

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

National Provider Directory

Tax ID family
Northeast Ohio Behavioral Health (2 organizations share this tax ID)

Locations

2795 Front St
Ste A
Cuyahoga Falls, OH 44221
Phone (330) 510-4900

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor
Group: 193200000X MULTI-SPECIALTY GROUP
101YM0800X 0483 OH Yes

Addresses

Primary practice location

4347 Portage St NW
Suite 103
North Canton, OH 44720-7371

Mailing address

2795 Front St
Suite a
Cuyahoga Falls, OH 44221-1900
Phone (330) 945-7100

Other identifiers

IdentifierTypeStateIssuer
10034MedicaidOH
10024MedicaidOH

Other providers in North Canton, OH

All providers in North Canton, OH · Mental Health Counselor in Ohio

Sources for this page

Verify at the official NPI Registry.