EVOLUTION RECOVERY SERVICES LLC NPI 1063093748

NPI Information

NPI: 1063093748
Provider Name: EVOLUTION RECOVERY SERVICES LLC
Classification: Counselor - 101YA0400X
Entity Type: Organization

Specialization: Addiction (Substance Use Disorder)

CLIA Number: 49D2265910

Address:
4622 ROCHAMBEAU DR
WILLIAMSBURG, VA
ZIP 23188
Phone: (757) 239-1462
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EVOLUTION RECOVERY SERVICES LLC is an addiction (substance use disorder) counselor in Williamsburg, VA. EVOLUTION RECOVERY SERVICES LLC NPI is 1063093748. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

4622 ROCHAMBEAU DR
WILLIAMSBURG, VA
ZIP 23188-114
Phone: (757) 239-1462

The provider's authorized official is Jefferey Carver .
The authorized official title is Owner and has the following contact phone number (757) 239-1462.

The CLIA number assigned to this NPI record is 49D2265910 - other - resident tx facility with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 4/15/2021 and was last updated on 4/15/2021.

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	License Number	License State	Primary
1	101YA0400X	Counselor	Addiction (Substance Use Disorder)			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

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