EVOLVE WELLNESS & IV HYDRATION CENTER LLC NPI 1265142780

NPI Information

NPI: 1265142780
Provider Name: EVOLVE WELLNESS & IV HYDRATION CENTER LLC

Doing Business As: EVOLVE MENTAL HEALTH AND WELLNESS

Classification: Nurse Practitioner - 363LP0808X
Entity Type: Organization

Specialization: Psychiatric/Mental Health

Address:
1715 INDIAN WOOD CIR STE 200
MAUMEE, OH
ZIP 43537
Phone: (419) 314-9535
Get Directions

EVOLVE WELLNESS & IV HYDRATION CENTER LLC is a psychiatric/mental health nurse practitioner in Maumee, OH. EVOLVE WELLNESS & IV HYDRATION CENTER LLC NPI is 1265142780. The provider is registered as an organization entity type.
The provider Is Doing Business As Evolve Mental Health And Wellness.

The provider's business location address is:

1715 INDIAN WOOD CIR STE 200
MAUMEE, OH
ZIP 43537-055
Phone: (419) 314-9535
Fax: (419) 469-5495

The provider's authorized official is Tameshia Wiggins .
The authorized official title is Np-c and has the following contact phone number (419) 314-9535.

The enumeration date for this NPI number is 11/28/2022 and was last updated on 2/21/2024.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	Primary
1	261QM0850X	Clinic/Center	Adult Mental Health	No
2	261QR0405X	Clinic/Center	Rehabilitation, Substance Use Disorder	No
3	363LA2200X	Nurse Practitioner	Adult Health	No
4	363LP2300X	Nurse Practitioner	Primary Care	No
5	363LP0808X	Nurse Practitioner	Psychiatric/Mental Health	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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