West Mock Associates, Inc Dba Center For Interpersonal Development in Lakewood - Addiction (substance Use Disorder)
West Mock Associates, Inc Dba Center For Interpersonal Development - NPI 1649303512
West Mock Associates, Inc Dba Center For Interpersonal Development is a Addiction (substance Use Disorder) in Lakewood, Ohio. West Mock Associates, Inc Dba Center For Interpersonal Development practices all healthcare services and medical treatments related to Addiction (substance Use Disorder). The NPI Number for West Mock Associates, Inc Dba Center For Interpersonal Development is 1649303512. The last update date is 2011-12-13.
West Mock Associates, Inc Dba Center For Interpersonal Development's current location address is 14650 Detroit Avenue, Lakewood, Ohio. You can contact this provider via phone number 2162262721 and fax number 2162262731. The mailing address for West Mock Associates, Inc Dba Center For Interpersonal Development is 14650 Detroit Avenue, Lakewood, Ohio. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | West Mock Associates, Inc Dba Center For Interpersonal Development |
|---|---|
| Address | 14650 Detroit Avenue, Lakewood, Ohio |
| Phone Number | 2162262721 |
| Fax Number | 2162262731 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | DIRECTOR |
|---|---|
| Authorized Official Name | Swimmer S. Barbara |
| Credentials | LISW-S SAP |
| Telephone Number | 2162262721 |
NPI Number Detail
| NPI Number | 1649303512 |
|---|---|
| Provider Enumeration Date | 2007-03-13 |
| Last Updated Date | 2011-12-13 |
Provider Mailing Address Detail
| Address | 14650 Detroit Avenue |
|---|---|
| City | Lakewood |
| State | Ohio (OH) |
| Post Code | 44107 |
| Phone Number | 2162262721 |
| Fax Number | 2162262731 |
Provider's Primary Taxonomy Detail
| Speciality | Addiction (substance Use Disorder) |
|---|---|
| Taxonomy | 103Ta0400X |
| Licence No | 3760 |
|
Definition: A psychologist with a proficiency that involves the application of psychological treatment of addiction stemming from the use of alcohol and other psychoactive substances (e.g., nicotine, marijuana, cocaine, heroin) or behavioral addictions (e.g., ga |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 3029252 | OH | -- |
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What is the West Mock Associates, Inc Dba Center For Interpersonal Development's 1649303512?
The West Mock Associates, Inc Dba Center For Interpersonal Development's NPI (National Provider Identifier) Number is 1649303512. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Where is the West Mock Associates, Inc Dba Center For Interpersonal Development located?
The West Mock Associates, Inc Dba Center For Interpersonal Development is located at 14650 Detroit Avenue, Lakewood, OH 44107.
What is West Mock Associates, Inc Dba Center For Interpersonal Development's specialized field of practice, and what is the corresponding taxonomy classification code?
The West Mock Associates, Inc Dba Center For Interpersonal Development's area of specialization is Addiction (substance Use Disorder), and the corresponding taxonomy code that categorizes this field of practice is 103Ta0400X.
On what date did the Centers for Medicare & Medicaid Services issue the 1649303512 to West Mock Associates, Inc Dba Center For Interpersonal Development?
The West Mock Associates, Inc Dba Center For Interpersonal Development received its 1649303512 assignment from the Centers for Medicare & Medicaid Services on 2007-03-13.
As of what date were the details pertaining to West Mock Associates, Inc Dba Center For Interpersonal Development last refreshed?
The information related to the West Mock Associates, Inc Dba Center For Interpersonal Development, including its address, specialty, and other relevant details, was last updated on 2011-12-13.
NPI Number: 1215930425
Address: 224 W Exchange St, Akron, OH