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
Fax: (413) 238-6461
Website:
Authorized official contact:
Name: Hernandez, Ileana I LICSW, LADCI

Health care specialties

SpecialtyCodeLicense #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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1568197416 NPPES
Massachusetts MEDICAID 1891049664

Popular Providers