Organization
EVOLUTION THROUGH MIND, BODY, AND SPIRIT, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NICOLE DIONE BERRY APRN-CNP (CEO/FOUNDER)
(440) 252-1063
Entity
Organization
Contact information
Practice address
14055 CEDAR RD STE 200, SOUTH EUCLID, OH 44118-3333
(440) 252-1063
Mailing address
14055 CEDAR RD STE 200, SOUTH EUCLID, OH 44118-3333
(440) 252-1063
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
—
—
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
—
Other
Enumeration date
07/07/2020
Last updated
01/06/2022
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