Healthcare Provider Details

I. General information

NPI: 1063885853
Provider Name (Legal Business Name): SEVENP HEALTH CARE SERVICES, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/03/2015
Last Update Date: 10/17/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

733 W MARKET ST STE B5A
AKRON OH
44303-1009
US

IV. Provider business mailing address

980 VALDES AVE
AKRON OH
44320-2634
US

V. Phone/Fax

Practice location:
  • Phone: 888-511-7078
  • Fax:
Mailing address:
  • Phone: 704-301-5436
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code103TC2200X
TaxonomyClinical Child & Adolescent Psychologist
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code251C00000X
TaxonomyDevelopmentally Disabled Services Day Training Agency
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code261QM2800X
TaxonomyMethadone Clinic
License Number
License Number State
# 5
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number State

VIII. Authorized Official

Name: MR. DIERRE A. DIKAHA
Title or Position: OWNER/COUNSELOR
Credential: MLPC, MFT, FN, CAC1
Phone: 704-301-5436