Evolve Therapuetic Health And Wellness Services

LBN: Evolve Therapuetic Health And Wellness Services
Evolve Therapuetic Health And Wellness Services is an health care organization with primary practice located at 16208 Penterra Way , Bowie MD 20716-1919. The organization recently has only one registered license in Ambulatory Health Care Facilities / Rehabilitation, Substance Use Disorder, which is considered as the primary health care specialty. Evolve Therapuetic Health And Wellness Services can be contacted via phone (301) 996-1677, or through Hamilton, Jacqueline D via phone (301) 996-1677.

Contact Information

Primary practice address
16208 Penterra Way Bowie MD 20716-1919
Phone: (301) 996-1677
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Hamilton, Jacqueline D LCPC
Phone: (301) 996-1677

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Rehabilitation, Substance Use Disorder 261QR0405X

Profile Details

NPI number 1013579093
LBN Legal business name Evolve Therapuetic Health And Wellness Services
DBA Doing business as
Authorized official Hamilton, Jacqueline D LCPC
Entity Organization
Organization subpart 1 No
Enumeration date Jul 1st, 2019
Last updated Mar 19th, 2024 - 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1013579093 NPPES
Maryland MEDICAID 4515124

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