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Brye Roth Llc
Professional Counselor in Lakewood, Ohio
NPI 1144003807

Brye Roth Llc is a Professional Counselor based in Lakewood, OH and is specialized in Professional. Brye Roth Llc practices in Lakewood, OH. The NPI Number for Brye Roth Llc is 1144003807 and holds a License No. (Ohio).

The current practice location address for Brye Roth Llc is 15644 Madison Ave Ste 216, Lakewood, OH and can be reached out via phone at 440-508-6765.

Location: 15644 Madison Ave Ste 216, Lakewood, OH, 44107-3613
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1144003807
Provider Name
Brye Roth Llc
Credential
Provider Entity Type
Organization
Address
15644 Madison Ave Ste 216, Lakewood, OH, 44107-3613
Phone Number
440-508-6765
Fax Number
Provider Enumeration Date
08/16/2023
Last Update Date
03/13/2024
institution
Provider Business Practice Location Address Details
Address
15644 Madison Ave Ste 216
City
Lakewood
State
Ohio
Zip
44107-5622
Phone Number
440-508-6765
Fax Number
person
Provider Business Mailing Address Details
Address
15644 Madison Ave Ste 216
City
Lakewood
State
Ohio
Zip
44107-5622
Phone Number
440-508-6765
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Professional
Taxonomy
101YP2500X
License No.
()
Definition
Definition to come...
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