Realize Your Path LLC
NPI #1750863288 in Fairview Park, Ohio
Provider Information
- NPI Number
- 1750863288
- Entity Type
- Organization
- Organization Name
- Realize Your Path LLC
- Primary Specialty
- Social Worker - Clinical
- Enumeration Date
- Aug 31, 2018
- Last Updated
- Mar 7, 2024
Practice Location
- Address
- 21245 LORAIN RD STE 201
- City
- Fairview Park
- State
- Ohio
- ZIP Code
- 44126-2140
- Phone
- (216) 337-3189
Authorized Official
- Name
- AIRIELLE SIOBHAN BANASZAK, LISW-S
- Title
- OWNER
- Phone
- (216) 337-3189
Specialties & Taxonomy Codes
| Specialty |
|---|
| Social Worker - Clinical — Clinical |
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