Provider Demographics
NPI:1518472018
Name:MS KUZILA LPCC LLC
Entity type:Organization
Organization Name:MS KUZILA LPCC LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CLINICAL COUNSELOR
Authorized Official - Prefix:
Authorized Official - First Name:MARYANN
Authorized Official - Middle Name:S
Authorized Official - Last Name:KUZILA
Authorized Official - Suffix:
Authorized Official - Credentials:LPCC-S
Authorized Official - Phone:440-525-2124
Mailing Address - Street 1:24600 CENTER RIDGE RD STE 133
Mailing Address - Street 2:
Mailing Address - City:WESTLAKE
Mailing Address - State:OH
Mailing Address - Zip Code:44145-5679
Mailing Address - Country:US
Mailing Address - Phone:440-525-2124
Mailing Address - Fax:
Practice Address - Street 1:24600 CENTER RIDGE RD STE 133
Practice Address - Street 2:
Practice Address - City:WESTLAKE
Practice Address - State:OH
Practice Address - Zip Code:44145-5679
Practice Address - Country:US
Practice Address - Phone:440-525-2124
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-12-06
Last Update Date:2017-12-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHE6901101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Single Specialty