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Kelley Christine Mirra
Addiction (Substance Use Disorder) Counselor in Shaker Heights, Ohio
NPI 1871200089

Kelley Christine Mirra is an Addiction (Substance Use Disorder) Counselor based in Shaker Heights, OH and is specialized in Addiction (Substance Use Disorder). Kelley Christine Mirra practices in Shaker Heights, OH. The NPI Number for Kelley Christine Mirra is 1871200089 and holds a License No. (Ohio).

The current practice location address for Kelley Christine Mirra is 22001 Fairmount Blvd, Shaker Heights, OH and can be reached out via phone at 216-320-6447.

Location: 22001 Fairmount Blvd, Shaker Heights, OH, 44118-4819
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1871200089
Provider Name
Kelley Christine Mirra
Credential
Provider Entity Type
Individual
Gender
Female
Address
22001 Fairmount Blvd, Shaker Heights, OH, 44118-4819
Phone Number
216-320-6447
Fax Number
Provider Enumeration Date
10/28/2022
Last Update Date
04/14/2024
institution
Provider Business Practice Location Address Details
Address
22001 Fairmount Blvd
City
Shaker Heights
State
Ohio
Zip
44118-4819
Phone Number
216-320-6447
Fax Number
person
Provider Business Mailing Address Details
Address
22001 Fairmount Blvd
City
Shaker Heights
State
Ohio
Zip
44118-4819
Phone Number
216-320-6447
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
101YA0400X
License No.
S2202721 (Ohio)
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Other Service Providers
Classification
Case Manager/Care Coordinator
Speciality
-
Taxonomy
171M00000X
License No.
()
Definition
A person who provides case management services and assists an individual in gaining access to needed medical, social, educational, and/or other services. The person has the ability to provide an assessment and review of completed plan of care on a periodic basis. This person is also able to take collaborative action to coordinate the services with other providers and monitor the enrollee's progress toward the cost-effective achievement of objectives specified in the plan of care. Credentials may vary from an experience in the fields of psychology, social work, rehabilitation, nursing or a closely related human service field, to a related Assoc of Arts Degree or to nursing credentials. Some states may require certification in case management.
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