Evolucion Of Wellness Llc
LBN: Evolucion Of Wellness Llc
Evolucion Of Wellness Llc is an health care organization with primary practice located at 133 Maple St Ste 201 , Springfield MA 01105-1896. The organization recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as the primary health care specialty.
Evolucion Of Wellness Llc can be contacted via phone (413) 225-1197, or through Hernandez, Ileana I via phone (413) 426-1321.
Contact Information
Primary practice address
133 Maple St Ste 201
Springfield MA 01105-1896
Phone: (413) 225-1197
Fax: (413) 238-6461
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Behavioral Health & Social Service Providers / Clinical | 1041C0700X |
Profile Details
NPI number | 1568197416 |
---|---|
LBN Legal business name | Evolucion Of Wellness Llc |
DBA Doing business as | |
Authorized official | Hernandez, Ileana I LICSW, LADCI |
Entity | Organization |
Organization subpart 1 | No |
Enumeration date | Jul 22nd, 2022 |
Last updated | Jan 31st, 2023 - about 2 years ago |
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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1568197416 | NPPES |
Massachusetts | MEDICAID | 1891049664 |
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