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NPI Code Detail

MEDICARE: SEVENP HEALTH CARE SERVICES, INC.

MEDICARE: SEVENP HEALTH CARE SERVICES, INC.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1103TC2200XClinical Child & Adolescent Psychologist
2251C00000XDevelopmentally Disabled Services Day Training Agency
3251S00000XCommunity/Behavioral Health Agency
4261QM2800XMethadone Clinic
5101YM0800XMental Health Counselor

General Provider Information

NPI Number : 1063885853
Entity Type Code : Organization
Provider Name (Legal Business Name) : SEVENP HEALTH CARE SERVICES, INC.
Provider Business Mailing Address
First Line : 980 VALDES AVE
Second Line :
City : AKRON
State : OH
Zip : 44320-2634
Country : US
Telephone Number : 704-301-5436
Fax Number :
Provider Business Practice Location Address
First Line : 733 W MARKET ST STE B5A
Second Line :
City : AKRON
State : OH
Zip : 44303-1009
Country : US
Telephone Number : 888-511-7078
Fax Number :
Authorized Official
Title or Position : OWNER/COUNSELOR
Name : MR. DIERRE A. DIKAHA
Credential : MLPC, MFT, FN, CAC1
Telephone Number : 704-301-5436
Provider Enumeration Date : 11/03/2015
Last Update Date : 10/17/2019

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Directions to “SEVENP HEALTH CARE SERVICES, INC. ” Practice Location

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