Provider / Organization | NPI | Date Certified |
---|---|---|
ARAVIA EVE BICKERSTAFF | 1013668516 | 2022-01-16 |
Aravia Eve Bickerstaff is registered with the National Plan and Provider Enumeration System and has been issued an National Provider Identifier (NPI) of 1013668516. Registration indicates Aravia Eve Bickerstaff is a provider of services with a specialization in Ambulatory Health Care Facilities, Clinic/Center (Clinic/Center: Adult Mental Health, ) (Behavioral Health/Substance Abuse/Psychiatry, ) (Clinic/Center Adult Mental Health, Ambulatory Health Care Facilities) (Clinic/Center, )
Entity Type | Individual |
Provider Name | Aravia Eve Bickerstaff |
Practice Office Address | 1514 TYLER ST AKRON, OH US |
Practice Office Telephone | 3308019933 |
Mailing Address | 1514 TYLER ST AKRON, OH 443071039 US |
Code | Practice | License No State |
---|---|---|
261QM0850X PRIMARY | Ambulatory Health Care Facilities Clinic/Center Clinic/Center: Adult Mental Health Behavioral Health/Substance Abuse/Psychiatry Clinic/Center Adult Mental Health Ambulatory Health Care Facilities Clinic/Center |