Wakeley, Diane M

Wakeley, Diane M is an sole proprietor health care provider with primary practice located at 8351 Mentor Ave , Mentor OH 44060-5749. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Behavioral Health & Social Service Providers / Mental Health. Behavioral Health & Social Service Providers / Mental Health is her primary health care specialty. Wakeley, Diane M can be contacted via phone (216) 839-2273.

Contact Information

Primary practice address
8351 Mentor Ave Mentor OH 44060-5749
Phone: (216) 839-2273
Fax: (216) 896-0735
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X 933513 Ohio
Behavioral Health & Social Service Providers / Mental Health 101YM0800X E-1976 Ohio

Profile Details

NPI number 1134255276
LBN Legal business name Wakeley, Diane M
Credentials PCC-S, LICDC
Entity Individual
Sole proprietor 1 Yes
Enumeration date Feb 25th, 2007
Last updated Aug 17th, 2009 - about 17 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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