Isackila, Raymond

Isackila, Raymond is an individual health care provider with primary practice located at 11100 Euclid Ave , Cleveland OH 44106-1716. He 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 / Professional. Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) is his primary health care specialty. Isackila, Raymond can be contacted via phone (216) 844-2400.

Contact Information

Primary practice address
11100 Euclid Ave Cleveland OH 44106-1716
Phone: (216) 844-2400
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X E2908 Ohio
Behavioral Health & Social Service Providers / Professional 101YP2500X E2908 Ohio

Profile Details

NPI number 1851317390
LBN Legal business name Isackila, Raymond
Credentials LPCC, LICDC
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 15th, 2006
Last updated Jan 15th, 2021 - about 3 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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Identifiers

StateTypeNumberIssuer
All States NPI 1851317390 NPPES
Ohio Other 363655 WELLCARE MEDICAID
Ohio Other 000000224146 WELLCARE MEDICAID
Ohio Other 000000533024 WELLCARE MEDICAID
Ohio Other 7793607 WELLCARE MEDICAID

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