Evolve Brain Health Llc
LBN: Evolve Brain Health Llc
Evolve Brain Health Llc is an health care organization with primary practice located at 1055 Summer St , Stamford CT 06905-5527. The organization recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Psychiatry, Ambulatory Health Care Facilities / Mental Health (Including Community Mental Health Center). Ambulatory Health Care Facilities / Mental Health (Including Community Mental Health Center) is the primary health care specialty.
Evolve Brain Health Llc can be contacted via phone (203) 504-9758, or through Knightly, Thomas Joseph via phone (978) 857-1424.
Contact Information
Primary practice address
1055 Summer St
Stamford CT 06905-5527
Phone: (203) 504-9758
Fax: (203) 504-9758
Website:
Authorized official contact:
Name: Knightly, Thomas Joseph Doctor of Medicine (MD)
Phone: (978) 857-1424
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Psychiatry | 2084P0800X | ||
| Ambulatory Health Care Facilities / Mental Health (Including Community Mental Health Center) | 261QM0801X |
Profile Details
| NPI number | 1740916105 |
|---|---|
| LBN Legal business name | Evolve Brain Health Llc |
| DBA Doing business as | |
| Authorized official | Knightly, Thomas Joseph Doctor of Medicine (MD) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Jul 28th, 2022 |
| Last updated | Jul 28th, 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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