1104703446 NPI number — NEW SOLUTIONS BEHAVORIAL HEALTH

Table of Contents

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1104703446 NPI number — NEW SOLUTIONS BEHAVORIAL HEALTH

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
NEW SOLUTIONS BEHAVORIAL HEALTH
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1104703446
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
10/21/2025
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
26100 EUCLID AVENUE
Provider Second Line Business Mailing Address:
SUITE 3C
Provider Business Mailing Address City Name:
EUCLID
Provider Business Mailing Address State Name:
OH
Provider Business Mailing Address Postal Code:
44132-3696
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
216-200-4212
Provider Business Mailing Address Fax Number:
216-974-9301

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
26100 LAKE SHORE BLVD STE 3C
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
EUCLID
Provider Business Practice Location Address State Name:
OH
Provider Business Practice Location Address Postal Code:
44132-1139
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
216-200-4212
Provider Business Practice Location Address Fax Number:
216-974-9301
Provider Enumeration Date:
08/19/2025

Additional Information

Authorized Official

Authorized Official Last Name:
LYLES
Authorized Official First Name:
TAMARA
Authorized Official Middle Name:
Authorized Official Title or Position:
COO
Authorized Official Telephone Number:
216-355-7319

Provider Taxonomy Codes

  • Taxonomy code: 251S00000X ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

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





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