Provider Demographics
NPI:1285904995
Name:NORTHCOAST CONFLICT SOLUTIONS, LLC
Entity type:Organization
Organization Name:NORTHCOAST CONFLICT SOLUTIONS, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PSYCHOLOGIST
Authorized Official - Prefix:DR
Authorized Official - First Name:JOHN
Authorized Official - Middle Name:JOSEPH
Authorized Official - Last Name:BERTSCHLER
Authorized Official - Suffix:
Authorized Official - Credentials:PHD
Authorized Official - Phone:216-236-6200
Mailing Address - Street 1:7819 BROADVIEW RD
Mailing Address - Street 2:SUITE 4
Mailing Address - City:SEVEN HILLS
Mailing Address - State:OH
Mailing Address - Zip Code:44131-6146
Mailing Address - Country:US
Mailing Address - Phone:216-236-6200
Mailing Address - Fax:216-236-6202
Practice Address - Street 1:7819 BROADVIEW RD
Practice Address - Street 2:SUITE 4
Practice Address - City:SEVEN HILLS
Practice Address - State:OH
Practice Address - Zip Code:44131-6146
Practice Address - Country:US
Practice Address - Phone:216-236-6200
Practice Address - Fax:216-236-6202
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-01-11
Last Update Date:2012-04-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologistGroup - Multi-Specialty
No101Y00000XBehavioral Health & Social Service ProvidersCounselorGroup - Multi-Specialty
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)Group - Multi-Specialty
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Multi-Specialty
No101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessionalGroup - Multi-Specialty
No104100000XBehavioral Health & Social Service ProvidersSocial WorkerGroup - Multi-Specialty
No106H00000XBehavioral Health & Social Service ProvidersMarriage & Family TherapistGroup - Multi-Specialty