Organization
EVOLVE BEHAVIORAL HEALTH LLC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TRACI M BARNES LCDC III (FOUNDER)
(216) 387-7277
Entity
Organization
Contact information
Practice address
5788 RIDGE RD STE 3, PARMA, OH 44129
(440) 340-5558
(440) 340-5575
Mailing address
5788 RIDGE RD STE 3, PARMA, OH 44129-3162
(440) 340-5558
(440) 340-5575
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
384632
—
OH
Enumeration date
07/30/2018
Last updated
10/16/2019
Update your record
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