Evolve Llc

LBN: Evolve Llc
Evolve Llc is an health care organization with primary practice located at 3416 Association Dr , Appleton WI 54914. The organization recently has 5 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Professional, Ambulatory Health Care Facilities / Mental Health (Including Community Mental Health Center), Ambulatory Health Care Facilities / Adult Mental Health, Ambulatory Health Care Facilities / Adolescent and Children Mental Health, Residential Treatment Facilities / Psychiatric Residential Treatment Facility. Ambulatory Health Care Facilities / Mental Health (Including Community Mental Health Center) is the primary health care specialty. Evolve Llc can be contacted via phone (920) 364-9078, or through Richelson, Elliott via phone (904) 514-7070.

Contact Information

Primary practice address
3416 Association Dr Appleton WI 54914
Phone: (920) 364-9078
Fax: (920) 243-1792
Website:
Map and Directions
Authorized official contact:
Name: Richelson, Elliott
Phone: (904) 514-7070

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Professional 101YP2500X
Ambulatory Health Care Facilities / Mental Health (Including Community Mental Health Center) 261QM0801X
Ambulatory Health Care Facilities / Adult Mental Health 261QM0850X
Ambulatory Health Care Facilities / Adolescent and Children Mental Health 261QM0855X
Residential Treatment Facilities / Psychiatric Residential Treatment Facility 323P00000X

Profile Details

NPI number 1821541137
LBN Legal business name Evolve Llc
DBA Doing business as
Authorized official Richelson, Elliott
Entity Organization
Organization subpart 1 No
Enumeration date Aug 3rd, 2016
Last updated Jun 29th, 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.

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