Provider Demographics
NPI:1649922030
Name:THE PERSPECTIVE LIASON CLINICAL CONSULTATION & ENGAGEMENT GROUP
Entity type:Organization
Organization Name:THE PERSPECTIVE LIASON CLINICAL CONSULTATION & ENGAGEMENT GROUP
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:STEPHANIE
Authorized Official - Middle Name:
Authorized Official - Last Name:LEWIS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:213-820-5225
Mailing Address - Street 1:2000 LEE RD
Mailing Address - Street 2:
Mailing Address - City:CLEVELAND HEIGHTS
Mailing Address - State:OH
Mailing Address - Zip Code:44118-2572
Mailing Address - Country:US
Mailing Address - Phone:440-291-3335
Mailing Address - Fax:
Practice Address - Street 1:2000 LEE RD
Practice Address - Street 2:
Practice Address - City:CLEVELAND HEIGHTS
Practice Address - State:OH
Practice Address - Zip Code:44118-2572
Practice Address - Country:US
Practice Address - Phone:440-291-3335
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-01-26
Last Update Date:2022-01-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselorGroup - Single Specialty