Evolving Lives Llc
LBN: Evolving Lives Llc
Evolving Lives Llc is an health care organization with primary practice located at 1990 Louisville Rd Ste 107 , Bowling Green KY 42101-1202. The organization recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Professional, Behavioral Health & Social Service Providers / Clinical. Behavioral Health & Social Service Providers / Clinical is the primary health care specialty.
Evolving Lives Llc can be contacted via phone (270) 495-1222, or through Whitlow, Adria via phone (270) 495-1222.
Contact Information
Primary practice address
1990 Louisville Rd Ste 107
Bowling Green KY 42101-1202
Phone: (270) 495-1222
Fax: (859) 209-6504
Website:
Authorized official contact:
Name: Whitlow, Adria Licensed Clinical Social Worker (LCSW)
Phone: (270) 495-1222
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Professional | 101YP2500X | ||
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X |
Profile Details
| NPI number | 1477144046 |
|---|---|
| LBN Legal business name | Evolving Lives Llc |
| DBA Doing business as | |
| Authorized official | Whitlow, Adria Licensed Clinical Social Worker (LCSW) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Jan 27th, 2021 |
| Last updated | Aug 11th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1477144046 | NPPES |
| Kentucky | MEDICAID | 7100720500 | |
| Kentucky | MEDICAID | 7100682470 | |
| Kentucky | MEDICAID | 7100811550 |
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