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Theo Isenberg, QMHS

NPI 1457117699 · on the registry since 2024 · sole proprietor

Practice

Address
2100 N Ridge Rd
Elyria, OH 44035
Phone
(440) 324-1300
Fax
(440) 277-0409
Clinicians at this address
24

Registry record

Primary taxonomy
171M00000X
171M00000X
Licence states on file
NULL
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2026-02-13

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Ohio