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Organization
REVOLUTION WELLNESS CENTER LLC
Active
Organization
REVOLUTION WELLNESS CENTER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARY LEE EMRICH LSW, LPCC-S, LICDC (OWNER)
(440) 915-7922
Entity
Organization
Contact information
Practice address
17535 ROSBOUGH BLVD STE 202, MIDDLEBURG HEIGHTS, OH 44130-8362
(216) 772-3310
(216) 251-8502
Mailing address
17535 ROSBOUGH BLVD STE 202, MIDDLEBURG HEIGHTS, OH 44130-8362
(216) 772-3310
(216) 251-8502
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
—
—
Other
Enumeration date
03/29/2023
Last updated
04/15/2026
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