EVOLUTION SERVICES, INC. (NPI# 1124308846) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1124308846 |
| Entity Type | Organization |
| Organization Name | EVOLUTION SERVICES, INC. |
| Practice Address |
520 S 3rd St W Missoula MT 59801-2518 |
| Practice Telephone | 4062403732 |
| Practice Fax Number | 4067284009 |
| Mailing Telephone | 4062403732 |
| Mailing Fax Number | 4067284009 |
| Enumeration Date | 2011-08-25 |
| Last Update Date | 2013-12-17 |
| Authorized Official Name | MS. JOCELYN M NELSON (DIRECTOR) |
| Authorized Official Telephone | 4062403732 |
| Authorized Official Credential | LCSW |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 251B00000X | Case Management | Agencies | ||
| N | 251S00000X | Community/Behavioral Health | Agencies | ||
| N | 1041C0700X |
Social Worker Specialization: Clinical |
SWP-LCSW-LIC-859 | MT | Behavioral Health & Social Service Providers |
| Y | 101YP2500X |
Counselor Specialization: Professional |
SWP LCPC LIC 139 | MT | Behavioral Health & Social Service Providers |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| New York State Corporations | EVOLUTION SERVICES, INC. | 8 Spruce St., Ste. 34c, New York, New York 10038 |
| Street Address |
520 S 3RD ST W |
| City | MISSOULA |
| State | MT |
| Zip Code | 59801-2518 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306453584 | John Sheehan Lcsw LLC | Social Worker | 520 S 3rd St W, Missoula, MT 59801-2518 | 2020-09-30 |
| 1831657717 | John Edward Sheehan IIi | Social Worker | 520 S 3rd St W, Missoula, MT 59801 | 2019-03-09 |
| 1043739105 | Ann Gertrude Stevenson | Counselor | 520 S 3rd St W, Missoula, MT 59801-2518 | 2017-09-10 |
| 1093259665 | Brittany Challinor | Counselor | 520 S 3rd St W, Missoula, MT 59801-2518 | 2016-12-15 |
| 1003280637 | Jocelyn Nelson | Social Worker | 520 S 3rd St W, Missoula, MT 59801-2518 | 2015-11-19 |
| 1154717122 | Charles L Hohl | Counselor | 520 S 3rd St W, Missoula, MT 59801-2518 | 2015-04-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629681010 | Time To Thrive Pllc | Social Worker | 1836 South Ave. West, Missoula, MT 59801 | 2020-08-26 |
| 1740815653 | Yuzo Fujiki | Specialist/Technologist | 210 N California St 104, Missoula, MT 59801 | 2020-03-11 |
| 1407346596 | Stepping Stones Counseling, Pllc | Counselor | 202 Brooks St Ste 300, Missoula, MT 59801 | 2018-05-14 |
| 1437668530 | Rejuve Care Clinic, Inc | Plastic Surgery | 715 Kensingten, Ste 1, Missoula, Missoula, MT 59801 | 2017-09-21 |
| 1619499555 | Beatrice Elise Powers | Specialist/Technologist | 410 B Stephens Ave, Missoula, MT 59801 | 2017-07-12 |
| 1770012197 | Hannah Lepiane | Massage Therapist | 1313 S. 4th W., Missoula, MT 59801 | 2017-06-08 |
| 1811420227 | Celeste Willis | Social Worker | 1055 W. Sussex, Missoula, MT 59801 | 2017-04-04 |
| 1073050498 | Rina Kasuga | Specialist/Technologist | 913 Rimini Ct, Missoula, MT 59801 | 2017-01-24 |
| 1043756919 | Heather Bartz | Specialist/Technologist | 831 Hastings Ave, Missoula, MT 59801 | 2017-01-16 |
| 1255874517 | Sarabeth Haddad | Social Worker | 1055 W Sussex Ave, Missoula, MT 59801 | 2016-11-18 |
| Find all providers in zip 59801 | ||||
| Taxonomy Code | 101YP2500X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Professional |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023616489 | Heather Nichols | Counselor | 12195 Pulp Mill Rd, Missoula, MT 59808-9711 | 2020-10-16 |
| 1609489822 | Chrysalis Counseling | Counselor | 1119 W Kent Ave Ste F, Missoula, MT 59801-6687 | 2020-08-27 |
| 1699305029 | Jeffrey Valentine | Counselor | 3011 American Way, Missoula, MT 59808-1921 | 2020-01-24 |
| 1871052134 | Joseph Brent Suchanic | Counselor | 500 N Higgins Ave Ste 107, Missoula, MT 59802-4550 | 2019-03-17 |
| 1861958431 | Amy Friedman | Counselor | 720 Brooks St., Missoula, MT 59801-5980 | 2019-02-19 |
| 1033683594 | Ariel Goodman | Counselor | 633 S 3rd St W Apt 4, Missoula, MT 59801-2541 | 2019-01-17 |
| 1922570324 | Beth D Howard | Counselor | 2901 W Broadway St Ste 206, Missoula, MT 59808-1773 | 2018-12-23 |
| 1972074888 | Kristin Kimberly Stratford | Counselor | 2831 Fort Missoula Rd Ste 305, Missoula, MT 59804-7479 | 2018-12-17 |
| 1043728314 | Ayme Lynne Krogstad | Counselor | 2237 S 3rd St W, Missoula, MT 59801-1334 | 2018-01-19 |
| 1821523580 | Stacey Lynn Graves | Counselor | 913 Sw Higgins Ave Ste 202, Missoula, MT 59803-1423 | 2017-05-01 |
| Find all providers in MISSOULA | ||||
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| 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.