# EVOLUTION THROUGH MIND, BODY, AND SPIRIT, LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1730707662
- **Authorized official:** NICOLE DIONE BERRY APRN-CNP (CEO/FOUNDER)
- **Authorized official phone:** (440) 252-1063

## Contact information

- **Practice address:** 14055 CEDAR RD STE 200, SOUTH EUCLID, OH 44118-3333
- **Practice address phone:** (440) 252-1063
- **Mailing address:** 14055 CEDAR RD STE 200, SOUTH EUCLID, OH 44118-3333
- **Mailing address phone:** (440) 252-1063

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261Q00000X | Clinic/Center | — | NULL | — |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | — | NULL | Yes |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | — | — | Yes |

## Other

- **Enumeration date:** 07/07/2020
- **Last updated:** 01/06/2022