EVOLUTION MENTAL HEALTH NPI 1417668138

NPI Information

NPI: 1417668138
Provider Name: EVOLUTION MENTAL HEALTH
Classification: Counselor - 101YM0800X
Entity Type: Organization

Specialization: Mental Health

Address:
1 HERITAGE DR STE 220
SOUTHGATE, MI
ZIP 48195
Phone: (734) 672-0068
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EVOLUTION MENTAL HEALTH is a mental health counselor in Southgate, MI. EVOLUTION MENTAL HEALTH NPI is 1417668138. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

1 HERITAGE DR STE 220
SOUTHGATE, MI
ZIP 48195-048
Phone: (734) 672-0068
Fax: (734) 250-7864

The provider's authorized official is Kimberly Mcfarland .
The authorized official title is Director and has the following contact phone number (734) 672-0068.

The enumeration date for this NPI number is 12/13/2022 and was last updated on 2/13/2023.

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	103T00000X	Psychologist		No
2	261QM0801X	Clinic/Center	Mental Health (Including Community Mental Health Center)	No
3	261QM0850X	Clinic/Center	Adult Mental Health	No
4	261QM0855X	Clinic/Center	Adolescent and Children Mental Health	No
5	101YM0800X	Counselor	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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