MRS. GALE OTELLO CLEVELAND


Address: 12644 Chapel Rd, Suite 112, Clifton, VA 20124-1706
Phone: 7038033294

MRS. GALE OTELLO CLEVELAND (NPI# 1912092198) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1912092198
Entity Type Individual
Full Name MRS. GALE OTELLO CLEVELAND
Credential L.C.S.W.
Practice Address 12644 Chapel Rd
Suite 112
Clifton
VA 20124-1706
Mailing Address 12644 Chapel Rd.
Suite 112
Clifton
VA 20124
Practice Telephone 7038033294
Practice Fax Number 7038030164
Mailing Telephone 7038033294
Mailing Fax Number 7038030164
Enumeration Date 2006-10-04
Last Update Date 2007-07-08
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 101YM0800X Counselor
Specialization: Mental Health
1345 VA Behavioral Health & Social Service Providers

Office Location

Street Address 12644 CHAPEL RD
SUITE 112
City CLIFTON
State VA
Zip Code 20124-1706

Providers in the same location

NPI Name Taxonomy Address Enumeration
1184919813 Julie Lynn Edstrom Counselor 12644 Chapel Rd, Suite 211, Clifton, VA 20124-1706 2011-06-10

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Taxonomy Information

Taxonomy Code 101YM0800X
Grouping Behavioral Health & Social Service Providers
Classification Counselor
Specialization Mental Health

Taxonomy Definition

Definition to come...

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Competitor

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City CLIFTON
Zip Code 20124

Improve Information

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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