Healthcare Provider Details

I. General information

NPI: 1952258238
Provider Name (Legal Business Name): ANAVAH INSTITUTE
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/14/2026
Last Update Date: 03/14/2026
Certification Date: 03/14/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

135 BROOKRUN DR
COPLEY OH
44321-1374
US

IV. Provider business mailing address

135 BROOKRUN DR
COPLEY OH
44321-1374
US

V. Phone/Fax

Practice location:
  • Phone: 330-808-3383
  • Fax: 216-625-0028
Mailing address:
  • Phone: 330-808-3383
  • Fax: 216-625-0028

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code364SH1100X
TaxonomyHolistic Clinical Nurse Specialist
License Number
License Number State

VIII. Authorized Official

Name: PHILLIP SCHERBAKOV
Title or Position: FOUNDER
Credential: PMHNP
Phone: 330-808-3383