EVOLVE WELLNESS CENTRE, LLC


Address: 9080 Greenwell St, Baton Rouge, LA 70812-2519
Phone: 2252064060

EVOLVE WELLNESS CENTRE, LLC (NPI# 1386260289) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1386260289
Entity Type Organization
Organization Name EVOLVE WELLNESS CENTRE, LLC
Practice Address 9080 Greenwell St
Baton Rouge
LA 70812-2519
Practice Telephone 2252064060
Practice Fax Number 2253728649
Mailing Telephone 2252064060
Mailing Fax Number 2253728649
Enumeration Date 2020-06-17
Last Update Date 2020-06-17
Authorized Official Name DR. SHALANDA JUDGE (OWNER)
Authorized Official Telephone 2252064060
Authorized Official Credential EDD
Is Organization Subpart Y
Parent Organization Name EVOLVE WELLNESS CENTRE, LLC

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 235Z00000X Speech-Language Pathologist Speech, Language and Hearing Service Providers
Y 101YP2500X Counselor
Specialization: Professional
Behavioral Health & Social Service Providers

Other Provider/Organization Names

Other Name Type Code
Evolve Wellness Group Doing Business As Name - Organization

Office Location

Street Address 9080 GREENWELL ST
City BATON ROUGE
State LA
Zip Code 70812-2519

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1164691259 Little Ones and Tender Hearts, LLC Non-emergency Medical Transport (VAN) 7143 Pitcairn, Baton Rouge, LA 70812 2008-02-22
1770709347 Health Care Centers In Schools Clinic/Center 6650 Cedar Grove Dr, Baton Rouge, LA 70812 2007-04-18
1558388470 Bethesda Rehabilitation Hospital, Inc. Rehabilitation Hospital 7414 Sumrall Drive, Baton Rouge, LA 70812 2006-07-16
1225599152 Ronald Ben Case Manager/Care Coordinator 6968 E Monarch Ave, Baton Rouge, LA 70812-1026 2019-03-25
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Taxonomy Information

Taxonomy Code 101YP2500X
Grouping Behavioral Health & Social Service Providers
Classification Counselor
Specialization Professional

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1700495538 Michelle Waguespack Counselor 7641 Copperfield Ct, Baton Rouge, LA 70808-6769 2020-07-28
1811510977 Amanda Elizabeth Bourgeois Counselor 4329 Arrowhead St, Baton Rouge, LA 70808-3921 2020-05-24
1497389712 Steven Naquin Counselor 2798 Oneal Ln Ste 8, Baton Rouge, LA 70816-3408 2020-02-25
1255974879 Lisa Head Counselor 630 Richland Ave, Baton Rouge, LA 70806-5766 2019-10-27
1154983633 Whole Health Counseling & Consulting, LLC Counselor 11613 Newcastle Ave Ste B-1, Baton Rouge, LA 70816-2215 2019-07-03
1013473396 Corey C Taylor Sr. Counselor 9558 Mesa Verde Ave, Baton Rouge, LA 70814-4017 2019-02-12
1083187470 Alycia Bueche Counselor 8738 Quarters Lake Rd Bldg 5, Baton Rouge, LA 70809-2194 2019-01-08
1417425109 Norma Arlene Magee Counselor 2519 Rhododendron Ave, Baton Rouge, LA 70808-2265 2018-11-11
1578039640 Michelle Murphy Rutherford Counselor 10935 Major Oak Dr, Baton Rouge, LA 70815-5445 2018-10-16
1144721259 Michael R. Feldman, LLC Counselor 12097 Old Hammond Hwy., I-3, Baton Rouge, LA 70816-8679 2018-02-23
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Competitor

Search similar providers

City BATON ROUGE
Zip Code 70812

Improve Information

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Dataset Information

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.

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