Individual provider · Type 1 NPI

Thiren Teal

Community/Behavioral Health Agency · Cleveland, OH

NPI number 1558240705 Active

Practice location

2969 Martin Luther King Jr Dr
Cleveland, OH 44104-4865

Fax (216) 274-9696

Specialties and licenses

Taxonomy	Code	License
Mental Illness Community Based Residential Treatment Facility	320800000X	None listed
Respite Care	385H00000X	None listed
Respite Care Camp	385HR2050X	None listed
Child Mental Illness Respite Care	385HR2055X	None listed
Child Intellectual and/or Developmental Disabilities Respite Care	385HR2060X	None listed
Child Physical Disabilities Respite Care	385HR2065X	None listed
Community/Behavioral Health Agency Primary	251S00000X	None listed

Community/Behavioral Health Agency: A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day suppo…

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About NPI 1558240705

Thiren Teal's National Provider Identifier is 1558240705, issued on Sep 1, 2025. The primary taxonomy on file is Community/Behavioral Health Agency (251S00000X), and the practice location is in Cleveland, OH. The record was last updated on Sep 1, 2025.