EVOLUTION THROUGH MIND BODY AND SPIRIT LLC NPI 1730707662

NPI Information

NPI: 1730707662
Provider Name: EVOLUTION THROUGH MIND, BODY, AND SPIRIT, LLC
Classification: Nurse Practitioner - 363LP0808X
Entity Type: Organization

Specialization: Psychiatric/Mental Health

Address:
14055 CEDAR RD STE 200
SOUTH EUCLID, OH
ZIP 44118
Phone: (440) 252-1063
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EVOLUTION THROUGH MIND, BODY, AND SPIRIT, LLC is a psychiatric/mental health nurse practitioner in South Euclid, OH. EVOLUTION THROUGH MIND, BODY, AND SPIRIT, LLC NPI is 1730707662. The provider is registered as an organization entity type.

The provider's business location address is:

14055 CEDAR RD STE 200
SOUTH EUCLID, OH
ZIP 44118-333
Phone: (440) 252-1063

The provider's authorized official is Nicole Dione Berry .
The authorized official title is Ceo/founder and has the following contact phone number (440) 252-1063.

The enumeration date for this NPI number is 7/7/2020 and was last updated on 1/6/2022.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	261Q00000X	Clinic/Center				No
2	363LP0808X	Nurse Practitioner	Psychiatric/Mental Health			Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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