Enchanted Cottage Therapy LLC

NPI #1265131163 in Berea, Ohio

Provider Information

NPI Number
1265131163
Entity Type
Organization
Organization Name
Enchanted Cottage Therapy LLC
Primary Specialty
Social Worker - Clinical
Enumeration Date
Feb 28, 2023
Last Updated
Feb 28, 2023

Practice Location

Address
415 FRONT ST
City
Berea
State
Ohio
ZIP Code
44017-1716
Phone
(315) 383-3225

Authorized Official

Name
LISA SULLIVAN
Title
CREDENTIALING SPECIALIST
Phone
(440) 453-0754

Specialties & Taxonomy Codes

Specialty
Social Worker - ClinicalClinical

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