OrganizationLemoine Psychotherapy IncSocial WorkerBehavioral Health & Social Service ProvidersPractice Address35010 Chardon Rd, Willoughby Hills, OH 44094-9010(216) 978-8602PECOS EnrollmentBased on the most recent information from CMS, provider Lemoine Psychotherapy Inc does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records 4 days ago.Profile DetailsProvider ID1598253486Provider TypeOrganizationFull NameLemoine Psychotherapy IncSubpartNoEnumeration Date4/25/2018Last Updated4/25/2018Contact InformationPractice LocationPractice Address35010 Chardon Rd, Willoughby Hills, OH 44094-9010Phone(216) 978-8602Fax(931) 901-1239Mailing LocationMailing Address5968 Ashcroft Dr, Mayfield Heights, OH 44124-3137Phone(216) 978-8602Fax(931) 901-1239Authorized OfficialNameLemoine, Kara Rose (Owner)Phone(216) 978-8602Provider TaxonomiesCodeDescriptionLicenseCode1041C0700XPrimaryDescriptionSocial WorkerBehavioral Health & Social Service ProvidersLicenseI1000296OhioProvider IdentifiersIDDescriptionIssuerIDI1000296DescriptionOtherIssuerLICENSEOhio