Nicole Bennett, CDCA.179664

NPI 1992302921 · on the registry since 2020 · sole proprietor

Practice

Address: 2121 W 117th St
Cleveland, OH 44111
Phone: (216) 417-4831
Fax: (216) 417-0040
Organisation at this address: B. Riley Sober House
B. Riley Sober House
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 22

Registry record

Primary taxonomy: 101YA0400X
101YA0400X
Licence states on file: OH
From the registry's licence fields, which are often incomplete.
Sex: Female
Record last updated: 2023-04-20

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Ohio