Elc Mental Health Services

LBN: Evolve Life Centers Iop Llc
Elc Mental Health Services is an health care organization with primary practice located at 2528 Mountain Rd Ste 102-204 , Pasadena MD 21122-7203. The organization recently has only one registered license in Ambulatory Health Care Facilities / Mental Health (Including Community Mental Health Center), which is considered as the primary health care specialty. Evolve Life Centers Iop Llc can be contacted via phone (443) 548-3733, or through Costley, Jessie via phone (443) 548-3733.

Contact Information

Primary practice address
2528 Mountain Rd Ste 102-204 Pasadena MD 21122-7203
Phone: (443) 548-3733
Fax: (410) 360-1675
Website:
Map and Directions
Authorized official contact:
Name: Costley, Jessie
Phone: (443) 548-3733

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Mental Health (Including Community Mental Health Center) 261QM0801X

Profile Details

NPI number 1568123966
LBN Legal business name Evolve Life Centers Iop Llc
DBA Doing business as Elc Mental Health Services
Authorized official Costley, Jessie
Entity Organization
Organization subpart 1 Yes
Enumeration date Jan 7th, 2022
Last updated Mar 24th, 2023 - about last year

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 1568123966 NPPES
Maryland MEDICAID 200468200

Popular Providers