| Evolve Behavioral Health LLC. | |
|
5788 Ridge Rd Ste 3 Parma OH 44129 | |
| (440) 340-5558 | |
| (440) 340-5575 |
| Full Name | Evolve Behavioral Health LLC. |
|---|---|
| Speciality | Clinic/center - Rehabilitation, Substance Use Disorder |
| Location | 5788 Ridge Rd Ste 3, Parma, Ohio |
| Authorized Official Name and Position | Traci M Barnes (FOUNDER) |
| Authorized Official Contact | 2163877277 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Evolve Behavioral Health LLC. 5788 Ridge Rd Ste 3 Parma OH 44129-3162 Ph: (440) 340-5558 | Evolve Behavioral Health LLC. 5788 Ridge Rd Ste 3 Parma OH 44129 Ph: (440) 340-5558 |
| NPI Number | 1255819504 |
|---|---|
| Provider Enumeration Date | 07/30/2018 |
| Last Update Date | 10/16/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1255819504 | NPI | - | NPPES |
| 384632 | Medicaid | OH |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | () | Secondary |
| 261QR0405X | Clinic/center - Rehabilitation, Substance Use Disorder | () | Primary |
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