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Organization
ALCOVE VENTURES LLC
Active
Organization
ALCOVE VENTURES LLC
Active
Other names
PSYCH360
Organization subpart
No
Provider details
NPI number
Authorized official
BRIAN NICHOLS (SVP OF REVENUE OPERATIONS)
(615) 334-5078
Entity
Organization
Contact information
Practice address
10603 DETROIT AVE, CLEVELAND, OH 44102-1647
(844) 291-4535
Mailing address
PO BOX 7977, CAROL STREAM, IL 60197-7977
(844) 291-4535
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
—
NULL
363LA2100X
Acute Care Nurse Practitioner
—
—
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
NULL
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
—
Other
Enumeration date
08/10/2015
Last updated
04/27/2026
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