The Mom Evolution

LBN: The Mom Evolution
The Mom Evolution is an health care organization with primary practice located at 45 Nw Greeley Ave , Bend OR 97703-2943. 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. The Mom Evolution can be contacted via phone (877) 831-1535, or through Holter, Adeline via phone (877) 831-1535.

Contact Information

Primary practice address
45 Nw Greeley Ave Bend OR 97703-2943
Phone: (877) 831-1535
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Holter, Adeline LCSW, LAC
Phone: (877) 831-1535

Health care specialties

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

Profile Details

NPI number 1144815135
LBN Legal business name The Mom Evolution
DBA Doing business as
Authorized official Holter, Adeline LCSW, LAC
Entity Organization
Organization subpart 1 No
Enumeration date Mar 2nd, 2021
Last updated Mar 2nd, 2021 - about 3 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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