Aravia Eve Bickerstaff
Clinic/Center, Adult Mental Health in Akron, OH. Individual provider (NPI-1).
NPI number1013668516
StatusActive
Last updated in NPPESJan 16, 2022
Details
- NPI
- 1013668516
- Entity type
- Individual (NPI-1)
- Name
- Aravia Eve Bickerstaff
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Jan 16, 2022
- Certification date
- Jan 16, 2022
- Last updated
- Jan 16, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 261QM0850X | Clinic/Center, Adult Mental Health | – | – | Yes |
Practice location
1514 Tyler StAkron, OH 44307-1039
Phone 330-801-9933
Mailing address
1514 Tyler StAkron, OH 44307-1039
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