OrganizationActive
Advanced Youth Counseling LLC
NPI 1144907841 · Psychiatric/Mental Health Nurse Practitioner · Beachwood, OH
Provider details
- NPI number
- 1144907841
- Entity type
- Organization
- Primary specialty
- Psychiatric/Mental Health Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Organization subpart
- No
- Authorized official
- Desiree Sanders, Owner/ Provider(121) 676-7997
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Practice location
3631 Beacon Dr
Beachwood, OH 44122-6008
Phone: (216) 767-9971
Approximate (ZIP-level) locationGet directions
Mailing address
3631 Beacon Dr
Beachwood, OH 44122-6008
Registry dates
- Enumerated
- 2023-07-03
- Last updated
- 2023-07-03
- Certified
- 2023-07-03
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.