Evolve Behavioral Health Llc.
LBN: Evolve Behavioral Health Llc.
Evolve Behavioral Health Llc. is an health care organization with primary practice located at 5788 Ridge Rd Ste 3 , Parma OH 44129. The organization recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Ambulatory Health Care Facilities / Rehabilitation, Substance Use Disorder. Ambulatory Health Care Facilities / Rehabilitation, Substance Use Disorder is the primary health care specialty.
Evolve Behavioral Health Llc. can be contacted via phone (440) 340-5558, or through Barnes, Traci M via phone (216) 387-7277.
Contact Information
Primary practice address
5788 Ridge Rd Ste 3
Parma OH 44129
Phone: (440) 340-5558
Fax: (440) 340-5575
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) | 101YA0400X | ||
| Ambulatory Health Care Facilities / Rehabilitation, Substance Use Disorder | 261QR0405X |
Profile Details
| NPI number | 1255819504 |
|---|---|
| LBN Legal business name | Evolve Behavioral Health Llc. |
| DBA Doing business as | |
| Authorized official | Barnes, Traci M LCDC III |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Jul 30th, 2018 |
| Last updated | Oct 16th, 2019 - about 5 years ago |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1255819504 | NPPES |
| Ohio | MEDICAID | 384632 |
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