Organization Active NPI

Ahava Center for Health and Wellness

  • Clinical Social Worker
  • Beachwood, OH
National Provider Identifier
1740892256
Registry record updated Dec 19, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
AHAVA CENTER FOR HEALTH AND WELLNESS
Practice address
2101 Richmond Rd Ste 1005
Beachwood, OH 44122-1390
Phone
(216) 208-7930
NPI assigned
Aug 18, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 19, 2022

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Ashley Gulley, LISW
Title
Owner
Phone
(216) 208-7930

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 1041C0700X Primary

Addresses

Primary practice location

2101 Richmond Rd Ste 1005
Beachwood, OH 44122-1390

Mailing address

22891 Arms Ave
Euclid, OH 44123-3217
Phone (216) 208-7930

Other names 1

  • AHAVA Center for Health and Wellness, LLC Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1597708800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1671408000000",
    "number": "1740892256",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22891 ARMS AVE",
            "city": "EUCLID",
            "state": "OH",
            "postal_code": "441233217",
            "telephone_number": "216-208-7930"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2101 RICHMOND RD STE 1005",
            "city": "BEACHWOOD",
            "state": "OH",
            "postal_code": "441221390",
            "telephone_number": "216-208-7930"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AHAVA CENTER FOR HEALTH AND WELLNESS",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-08-18",
        "last_updated": "2022-12-19",
        "certification_date": "2022-12-19",
        "status": "A",
        "authorized_official_last_name": "GULLEY",
        "authorized_official_first_name": "ASHLEY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "216-208-7930",
        "authorized_official_credential": "LISW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "AHAVA Center for Health and Wellness, LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Beachwood, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 19, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.