Evolve Counseling Center Llc

LBN: Evolve Counseling Center Llc
Evolve Counseling Center Llc is an health care organization with primary practice located at 2999 Ne 191St St Suite 701, Aventura FL 33180-3123. The organization recently has only one registered license in Behavioral Health & Social Service Providers / Mental Health, which is considered as the primary health care specialty. Evolve Counseling Center Llc can be contacted via phone (786) 505-1145, or through Johnson, Tanya via phone (808) 343-0626.

Contact Information

Primary practice address
2999 Ne 191St St Suite 701 Aventura FL 33180-3123
Phone: (786) 505-1145
Fax: (866) 838-1482
Website:
Map and Directions
Authorized official contact:
Name: Johnson, Tanya LMHC
Phone: (808) 343-0626

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X MH11793 Florida

Profile Details

NPI number 1104272624
LBN Legal business name Evolve Counseling Center Llc
DBA Doing business as
Authorized official Johnson, Tanya LMHC
Entity Organization
Organization subpart 1 No
Enumeration date May 13th, 2016
Last updated May 13th, 2016 - about 8 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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Identifiers

StateTypeNumberIssuer
All States NPI 1104272624 NPPES
Florida MEDICAID 015682200

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