Evolo Pllc

LBN: Evolo Pllc
Evolo Pllc is an health care organization with primary practice located at 416 S Main St Ste 102 , Hailey ID 83333-8422. The organization recently has 3 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Mental Health, Ambulatory Health Care Facilities / Mental Health (Including Community Mental Health Center), Ambulatory Health Care Facilities / Adult Mental Health. Behavioral Health & Social Service Providers / Mental Health is the primary health care specialty. Evolo Pllc can be contacted via phone (208) 727-7360, or through Cannell, Kathryn E via phone (208) 727-7360.

Contact Information

Primary practice address
416 S Main St Ste 102 Hailey ID 83333-8422
Phone: (208) 727-7360
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Cannell, Kathryn E Licensed Professional Counselor (LPC)
Phone: (208) 727-7360

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X
Ambulatory Health Care Facilities / Mental Health (Including Community Mental Health Center) 261QM0801X
Ambulatory Health Care Facilities / Adult Mental Health 261QM0850X

Profile Details

NPI number 1043075302
LBN Legal business name Evolo Pllc
DBA Doing business as
Authorized official Cannell, Kathryn E Licensed Professional Counselor (LPC)
Entity Organization
Organization subpart 1 No
Enumeration date Feb 15th, 2024
Last updated Feb 15th, 2024 - about last year

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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