1902841190 NPI number — MRS. HARRIETT GUIDO LPCC

Table of content: MRS. HARRIETT GUIDO LPCC (NPI 1902841190)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1902841190 NPI number — MRS. HARRIETT GUIDO LPCC

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
GUIDO
Provider First Name:
HARRIETT
Provider Middle Name:
Provider Name Prefix Text:
MRS.
Provider Name Suffix Text:
Provider Credential Text:
LPCC
Provider Gender Code:
F

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
GUIDO
Provider Other First Name:
HARRIETT
Provider Other Middle Name:
Provider Other Name Prefix Text:
MRS.
Provider Other Name Suffix Text:
Provider Other Credential Text:
LPCC
Provider Other Last Name Type Code:
2

NPI Number Information

NPI Number:
1902841190
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
01/14/2020
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
7124 WARREN SHARON RD
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
BROOKFIELD
Provider Business Mailing Address State Name:
OH
Provider Business Mailing Address Postal Code:
44403-9657
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
330-448-2707
Provider Business Mailing Address Fax Number:
330-448-1980

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
7124 WARREN SHARON RD
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
BROOKFIELD
Provider Business Practice Location Address State Name:
OH
Provider Business Practice Location Address Postal Code:
44403-9657
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
330-448-2707
Provider Business Practice Location Address Fax Number:
330-448-1980
Provider Enumeration Date:
06/19/2006

Additional Information

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 101YM0800X , with the licence number:  E-0001939 , registered in the state of OH ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: 337384 . This is a "HIGHMARK" identifier , issued by the state of ( OH ) . This identifiers is of the category "OTHER".
  • Identifier: 000000113640 . This is a "ANTHEM" identifier , issued by the state of ( OH ) . This identifiers is of the category "OTHER".
  • Identifier: 001445296 . This is a "HIGHMARK" identifier , issued by the state of ( PA ) . This identifiers is of the category "OTHER".
  • Identifier: 112293 . This is a "VALUE OPTIONS" identifier , issued by the state of ( OH ) . This identifiers is of the category "OTHER".
  • Identifier: 243319000 . This is a "MAGELLAN" identifier , issued by the state of ( OH ) . This identifiers is of the category "OTHER".
  • Identifier: 5625687 . This is a "AETNA" identifier , issued by the state of ( OH ) . This identifiers is of the category "OTHER".
  • Identifier: 62-54868 . This is a "UBH" identifier , issued by the state of ( OH ) . This identifiers is of the category "OTHER".
  • Identifier: 158556 . This is a "MHN" identifier , issued by the state of ( OH ) . This identifiers is of the category "OTHER".
  • Identifier: 158556 . This is a "ADVANTAGE HEALTH" identifier , issued by the state of ( OH ) . This identifiers is of the category "OTHER".




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