Evolve Onward Llc

LBN: Evolve Onward Llc
Evolve Onward Llc is an health care organization with primary practice located at 2310 N 68Th St , Wauwatosa WI 53213-1304. The organization recently has only one registered license in Ambulatory Health Care Facilities / Adult Mental Health, which is considered as the primary health care specialty. Evolve Onward Llc can be contacted via phone (414) 377-5481, or through Doucette, David William via phone (414) 377-5481.

Contact Information

Primary practice address
2310 N 68Th St Wauwatosa WI 53213-1304
Phone: (414) 377-5481
Fax: (414) 377-5482
Website:
Map and Directions
Authorized official contact:
Name: Doucette, David William MS, LPC, CSAC, NCC
Phone: (414) 377-5481

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Adult Mental Health 261QM0850X

Profile Details

NPI number 1144893363
LBN Legal business name Evolve Onward Llc
DBA Doing business as
Authorized official Doucette, David William MS, LPC, CSAC, NCC
Entity Organization
Organization subpart 1 No
Enumeration date Jul 24th, 2021
Last updated Jul 19th, 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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Identifiers

StateTypeNumberIssuer
All States NPI 1144893363 NPPES
Wisconsin MEDICAID 100030427

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