1417015900 NPI number — DR. EILEEN MCGEE & ASSOCIATES, INC.

Table of content: CANDIS JAI LAVALLAIS LMHC, LPC (NPI 1811685704)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1417015900 NPI number — DR. EILEEN MCGEE & ASSOCIATES, INC.

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
DR. EILEEN MCGEE & ASSOCIATES, INC.
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:
1417015900
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
08/22/2020
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
9450 WINTERBERRY LN
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
MENTOR
Provider Business Mailing Address State Name:
OH
Provider Business Mailing Address Postal Code:
44060-7961
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
440-478-4934
Provider Business Mailing Address Fax Number:

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
2020 HAYES AVE
Provider Second Line Business Practice Location Address:
FIRELANDS REGIONAL HOSPITAL
Provider Business Practice Location Address City Name:
SANDUSKY
Provider Business Practice Location Address State Name:
OH
Provider Business Practice Location Address Postal Code:
44870-4793
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
419-557-5177
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
12/05/2006

Additional Information

Authorized Official

Authorized Official Last Name:
MCGEE
Authorized Official First Name:
EILEEN
Authorized Official Middle Name:
S.
Authorized Official Title or Position:
PRESIDENT
Authorized Official Telephone Number:
440-478-4934

Provider Taxonomy Codes

  • Taxonomy code: 2084P0804X , with the licence number:  35045116 , 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)





Copyright © 2007-2025 www.npivalidator.com