EVOLVE GROWTH INITIATIVES LLC (NPI# 1023564226) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1023564226 |
Entity Type | Organization |
Organization Name | EVOLVE GROWTH INITIATIVES LLC |
Other Organization Name | EVOLVE TREATMENT CENTERS - SANTA BARBARA |
Practice Address |
1029 State St Santa Barbara CA 93101 |
Mailing Address |
300 N Pacific Coast Hwy Ste 2060 El Segundo CA 90245-4479 |
Practice Telephone | 4242811000 |
Mailing Telephone | 7723619705 |
Enumeration Date | 2016-08-28 |
Last Update Date | 2020-08-20 |
Authorized Official Name | EDDY LAI (CONTROLLER) |
Authorized Official Telephone | 7723619705 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 251S00000X | Community/Behavioral Health | Agencies | ||
N | 261QM0855X |
Clinic/Center Specialization: Adolescent and Children Mental Health |
Ambulatory Health Care Facilities | ||
N | 320800000X | Community Based Residential Treatment Facility, Mental Illness | Residential Treatment Facilities | ||
N | 323P00000X | Psychiatric Residential Treatment Facility | Residential Treatment Facilities | ||
N | 324500000X | Substance Abuse Rehabilitation Facility | Residential Treatment Facilities | ||
N | 3245S0500X |
Substance Abuse Rehabilitation Facility Specialization: Substance Abuse Treatment, Children |
Residential Treatment Facilities | ||
Y | 261QR0405X |
Clinic/Center Specialization: Rehabilitation, Substance Use Disorder |
Ambulatory Health Care Facilities |
Other Name | Type Code |
---|---|
Evolve Treatment Centers - Santa Barbara | Doing Business As Name - Organization |
JCP East | Other Name - Individual/Organization |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1215538244 | Evolve Growth Initiatives LLC | Community Based Residential Treatment Facility, Mental Illness | 10525 Fuerte Dr, La Mesa, CA 91941-4350 | 2020-11-05 |
1639711039 | Evolve Growth Initiatives LLC | Clinic/Center | 123 Brodia Way, Walnut Creek, CA 94598-4919 | 2019-10-17 |
1548802945 | Evolve Growth Initiatives LLC | Clinic/Center | 1261 Panorama Dr, Lafayette, CA 94549-2412 | 2019-10-17 |
1356857494 | Evolve Growth Initiatives LLC | Substance Abuse Rehabilitation Facility | 423 Woodbluff Rd, Calabasas, CA 91302 | 2017-12-27 |
1669985867 | Evolve Growth Initiatives LLC | Clinic/Center | 2560 Butch Dr, Gilroy, CA 95020 | 2017-11-09 |
1669906020 | Evolve Growth Initiatives LLC | Clinic/Center | 5435 Aura Avenue, Tarzana, CA 91356 | 2017-04-12 |
1154872372 | Evolve Growth Initiatives LLC | Clinic/Center | 6425 Chesebro Road, Agoura, CA 91301 | 2016-10-24 |
1245682087 | Evolve Growth Initiatives LLC | Clinic/Center | 599 Quail Oaks Dr, Ojai, CA 93023 | 2016-07-05 |
1912310947 | Evolve Growth Initiatives LLC | Clinic/Center | 820 Moraga Dr, Los Angeles, CA 90049-1632 | 2014-06-06 |
1922581297 | Evolve Growth Initiatives LLC | Community Based Residential Treatment Facility, Mental Illness | 1991 Park Ave, San Jose, CA 95126-1423 | 2018-09-12 |
Entity Type | Entity Name | Entity Address |
---|---|---|
Connecticut Business Registrations | EVOLVE GROWTH INITIATIVES LLC | 820 Moraga Dr, Los Angeles, CA 90049 |
Street Address |
1029 STATE ST |
City | SANTA BARBARA |
State | CA |
Zip Code | 93101 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1043362668 | Jenny Marcellino Paul | Counselor | 1029 State St, #19, Santa Barbara, CA 93101-2710 | 2007-01-16 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1962035998 | Danielle Marie Lauser | Marriage & Family Therapist | 735 State Street, Suite 416a, Santa Barbara, CA 93101 | 2020-02-18 |
1578056560 | Recovery Santa Barbara, Inc. | Voluntary or Charitable | 1532 Castillo Street, Main House and Units A and B, Santa Barbara, CA 93101 | 2018-06-13 |
1730678798 | Igor Lantsberg | Dentist | 31 W Gutierrez St, Santa Barbara, CA 93101 | 2018-05-05 |
1477071900 | Liliana De La Rocha | Counselor | 123 W Gutierrez Street, Santa Barbara, CA 93101 | 2017-09-05 |
1023531613 | Julie Roman | Counselor | 324 E Carrillo St Ste C, Santa Barbara, CA 93101 | 2017-07-25 |
1538689849 | Alejandra Sanchez | Counselor | 107 East Micheltorena St., Santa Barbara, CA 93101 | 2017-06-27 |
1205374725 | Suzanne Marlow | Marriage & Family Therapist | 27 East Victoria Street #m, Santa Barbara, CA 93101 | 2017-02-03 |
1063878395 | Kelly James Berger | Counselor | 133 East Haley Street, Santa Barbara, CA 93101 | 2015-12-31 |
1982080180 | Council On Alcohol and Drug Abuse | Early Intervention Provider Agency | 111 Garden Street, Santa Barbara, CA 93101 | 2015-08-11 |
1548656580 | Stella Sacks | Counselor | 107 E. Micheltorena Street, Santa Barbara, CA 93101 | 2015-04-07 |
Find all providers in zip 93101 |
Taxonomy Code | 261QR0405X |
Grouping | Ambulatory Health Care Facilities |
Classification | Clinic/Center |
Specialization | Rehabilitation, Substance Use Disorder |
Definition to come... |
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---|---|---|---|---|
1063893428 | American Riviera LLC | Clinic/Center | 403 E Montecito St, Third Floor, Santa Barbara, CA 93101-1759 | 2015-06-11 |
1467675918 | Santa Barbara Center for Change | Clinic/Center | 2950 State St, Suite A, Santa Barbara, CA 93105-3464 | 2007-04-11 |
1558848481 | The Salvation Army | Clinic/Center | 423 Chapala St, Santa Barbara, CA 93101-3409 | 2018-07-24 |
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1003427337 | Restorative Partners, Inc. | Clinic/Center | 3220 S Higuera St Ste 103a, San Luis Obispo, CA 93401-2023 | 2020-08-11 |
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1104435734 | New Life Health Authority / Dba New Life LLC | Clinic/Center | 280 E Standley St, Ukiah, CA 95482-4414 | 2020-07-29 |
1043829971 | House of Hope Foundation Inc | Clinic/Center | 227 W 9th St, San Pedro, CA 90731-3711 | 2020-07-27 |
Find all providers with the same taxonomy |
City | SANTA BARBARA |
Zip Code | 93101 |
Please comment or provide details below to improve the information on EVOLVE GROWTH INITIATIVES LLC.
Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.