KELITHA LAVERNE BIVENS
NPI 1134720055
Counselor - Addiction (Substance Use Disorder) in Cleveland, OH
Active since November 06, 2020
About Kelitha Laverne Bivens NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
KELITHA LAVERNE BIVENS (NPI 1134720055) is an individual addiction (substance use disorder) provider in Cleveland, Ohio and active in the NPI registry since November 2020.
NPPES Registry Identity
NPI1134720055
Entity TypeIndividualFemale
Primary Taxonomy101YA0400X
Provider Legal NameKELITHA LAVERNE BIVENS
Location Address8411 BROADWAY AVECleveland, OH 44105-3932
Mailing Address8411 Broadway AveCleveland, OH 44105-3932 · (216) 441-0200
Phone(216) 441-0200
Sole ProprietorYes
Enumeration DateNovember 6, 2020
NPPES CertifiedNovember 6, 2020
✔ NPI 1134720055 is a valid, active identifier and passes the ISO check-digit test.
Specialties & Licenses
★ Primary SpecialtyCounselor · Addiction (Substance Use Disorder)Behavioral Health & Social Service Providers
Taxonomy Code101YA0400X
8411 BROADWAY AVE, Cleveland, OH 44105
Other Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
Substance Abuse Rehabilitation Facility
8411 BROADWAY AVE
CLEVELAND, OH 44105
CLEVELAND, OH 44105
Counselor (Addiction (Substance Use Disorder))
8411 BROADWAY AVE
CLEVELAND, OH 44105
CLEVELAND, OH 44105
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1134720055, enumerated as an "individual" on November 06, 2020.
The provider is located at 8411 BROADWAY AVE CLEVELAND, OH 44105 and the phone number is (216) 441-0200.
Counselor with taxonomy code 101YA0400X and a focus in Addiction (Substance Use Disorder).
