David Evans
Individual provider Active NPI Addiction (Substance Use Disorder) Counselor · Sheffield Village, OH
NPI 1346046950 · NPPES record last updated Feb 24, 2025
Key facts
- NPI
- 1346046950
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Addiction (Substance Use Disorder) Counselor 101YA0400X
- License
- CDCA.188842 (OH)
- Practice address
- 5342 Meadow Lane CT
Sheffield Village, OH 44035-1469 - Phone
- (440) 934-2533
- NPI assigned
- Feb 24, 2025
- Sex
- Male
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| CDCA.188842 | OH | MD | Addiction (Substance Use Disorder) Counselor |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | CDCA.188842 | OH | Yes |
Addresses
Primary practice location
5342 Meadow Lane CT
Sheffield Village, OH 44035-1469
Mailing address
5400 Gargasz Dr
Lorain, OH 44053-3360
Phone (419) 503-3474
Other practice location 1
2736 N Ridge Rd
Painesville, OH 44077-4890
Phone (440) 306-3017
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- Everside Health, LLC
- Mourad Fanous
- Brittany Fenderson
- Jaistemmi Fernandez List
All providers in Sheffield Village, OH · Addiction (Substance Use Disorder) Counselor in Ohio
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 24, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.