Evolution Autism

LBN: Evolution Autism
Evolution Autism is an health care organization with primary practice located at 1801 S Great Southwest Pkwy , Grand Prairie TX 75051-3542. The organization recently has 10 registered licenses in different health care specialties including Agencies / Community/Behavioral Health, Agencies / Voluntary or Charitable, Agencies / Early Intervention Provider Agency, Agencies / In Home Supportive Care, Ambulatory Health Care Facilities / Clinic/Center, Ambulatory Health Care Facilities / Developmental Disabilities, Ambulatory Health Care Facilities / Mental Health (Including Community Mental Health Center), Residential Treatment Facilities / Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities, Respite Care Facility / Respite Care, Mental Retardation and/or Developmental Disabilities, Respite Care Facility / Respite Care, Physical Disabilities, Child. Agencies / Early Intervention Provider Agency is the primary health care specialty. Evolution Autism can be contacted via phone (214) 984-4189, or through Roseman, Gabrielle via phone (214) 984-4189.

Contact Information

Primary practice address
1801 S Great Southwest Pkwy Grand Prairie TX 75051-3542
Phone: (214) 984-4189
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Roseman, Gabrielle
Phone: (214) 984-4189

Health care specialties

SpecialtyCodeLicense #State
Agencies / Community/Behavioral Health 251S00000X
Agencies / Voluntary or Charitable 251V00000X
Agencies / Early Intervention Provider Agency 252Y00000X
Agencies / In Home Supportive Care 253Z00000X
Ambulatory Health Care Facilities / Clinic/Center 261Q00000X
Ambulatory Health Care Facilities / Developmental Disabilities 261QD1600X
Ambulatory Health Care Facilities / Mental Health (Including Community Mental Health Center) 261QM0801X
Residential Treatment Facilities / Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities 320600000X
Respite Care Facility / Respite Care, Mental Retardation and/or Developmental Disabilities 385HR2060X
Respite Care Facility / Respite Care, Physical Disabilities, Child 385HR2065X

Profile Details

NPI number 1710698378
LBN Legal business name Evolution Autism
DBA Doing business as
Authorized official Roseman, Gabrielle
Entity Organization
Organization subpart 1 No
Enumeration date Dec 5th, 2022
Last updated Dec 5th, 2022 - 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.

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