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Katina Nichols
Emotionally Disturbed Childrens' Residential Treatment Facility in Mentor, Ohio
NPI 1912311937

Katina Nichols is a Emotionally Disturbed Childrens' Residential Treatment Facility based in Hudson, OH. Katina Nichols practices in Mentor, OH. The NPI Number for Katina Nichols is 1912311937 and holds a License No. (Ohio).

The current practice location address for Katina Nichols is 7232 Justin Way, Mentor, OH and can be reached out via phone at 440-578-8200.

Location: 7232 Justin Way, Mentor, OH, 44236-1868
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1912311937
Provider Name
Katina Nichols
Credential
Provider Entity Type
Individual
Gender
Female
Address
7232 Justin Way, Mentor, OH, 44236-1868
Phone Number
440-578-8200
Fax Number
Provider Enumeration Date
06/18/2014
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
7232 Justin Way
City
Mentor
State
Ohio
Zip
44060-4881
Phone Number
440-578-8200
Fax Number
person
Provider Business Mailing Address Details
Address
7232 Justin Way
City
Mentor
State
Ohio
Zip
44060-4881
Phone Number
440-578-8200
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Social Worker
Speciality
-
Taxonomy
104100000X
License No.
0 (Ohio)
Definition
A social worker is a person who is qualified by a Social Work degree, and licensed, certified or registered by the state as a social worker to practice within the scope of that license. A social worker provides assistance and counseling to clients and their families who are dealing with social, emotional and environmental problems. Social work services may be rendered to individuals, families, groups, and the public.
person
Provider's Taxonomy Details 2
Type
Residential Treatment Facilities
Classification
Residential Treatment Facility, Emotionally Disturbed Children
Speciality
-
Taxonomy
322D00000X
License No.
()
Definition
A residential facility that provides habilitation services and other care and treatment to children diagnosed with mental health illness, behavioral issues, and intellectual disabilities and are not able to live independently.
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