Reserevelations, Llc

LBN: Reserevelations, Llc
Reserevelations, Llc is an health care organization with primary practice located at 4440 N Union Rd , Trotwood OH 45426. The organization recently has 7 registered licenses in different health care specialties including Agencies / Case Management, Agencies / Public Health or Welfare, Agencies / Community/Behavioral Health, Ambulatory Health Care Facilities / Mental Health (Including Community Mental Health Center), Ambulatory Health Care Facilities / Adult Mental Health, Ambulatory Health Care Facilities / Adolescent and Children Mental Health, Transportation Services / Private Vehicle. Ambulatory Health Care Facilities / Adolescent and Children Mental Health is the primary health care specialty. Reserevelations, Llc can be contacted via phone (937) 350-1684, or through Gooden, De'Rese Zyire via phone (513) 328-8516.

Contact Information

Primary practice address
4440 N Union Rd Trotwood OH 45426
Phone: (937) 350-1684
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Gooden, De'Rese Zyire Licensed Professional Counselor (LPC)
Phone: (513) 328-8516

Health care specialties

SpecialtyCodeLicense #State
Agencies / Case Management 251B00000X
Agencies / Public Health or Welfare 251K00000X
Agencies / Community/Behavioral Health 251S00000X
Ambulatory Health Care Facilities / Mental Health (Including Community Mental Health Center) 261QM0801X
Ambulatory Health Care Facilities / Adult Mental Health 261QM0850X
Ambulatory Health Care Facilities / Adolescent and Children Mental Health 261QM0855X
Transportation Services / Private Vehicle 347C00000X

Profile Details

NPI number 1083326706
LBN Legal business name Reserevelations, Llc
DBA Doing business as
Authorized official Gooden, De'Rese Zyire Licensed Professional Counselor (LPC)
Entity Organization
Organization subpart 1 No
Enumeration date Dec 14th, 2022
Last updated Dec 17th, 2022 - about 2 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1083326706 NPPES
Ohio MEDICAID 0307155

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