Provider Demographics
NPI:1487261855
Name:BENHADDOUCHE, YOUSSEF
Entity type:Individual
Prefix:
First Name:YOUSSEF
Middle Name:
Last Name:BENHADDOUCHE
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3690 ORANGE PL STE 320
Mailing Address - Street 2:
Mailing Address - City:BEACHWOOD
Mailing Address - State:OH
Mailing Address - Zip Code:44122-4432
Mailing Address - Country:US
Mailing Address - Phone:216-831-1494
Mailing Address - Fax:
Practice Address - Street 1:1414 S GREEN RD STE 301
Practice Address - Street 2:
Practice Address - City:SOUTH EUCLID
Practice Address - State:OH
Practice Address - Zip Code:44121-3937
Practice Address - Country:US
Practice Address - Phone:216-849-5388
Practice Address - Fax:216-455-7520
Is Sole Proprietor?:No
Enumeration Date:2020-09-29
Last Update Date:2025-09-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No172V00000XOther Service ProvidersCommunity Health Worker