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).
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 |
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 Name | Type Code |
---|---|
Evolve Wellness Group | Doing Business As Name - Organization |
Street Address |
9080 GREENWELL ST |
City | BATON ROUGE |
State | LA |
Zip Code | 70812-2519 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1205335098 | Oneil Curtis | Non-emergency Medical Transport (VAN) | 8153 Quad Square, Baton Rouge, LA 70812 | 2018-02-07 |
1235587635 | Chloie Wallace | Case Manager/Care Coordinator | 5846 Hartford Ave, Baton Rouge, LA 70812 | 2016-05-26 |
1134575673 | Tonya Wilson | Non-emergency Medical Transport (VAN) | 5946 Wright Dr, Baton Rouge, LA 70812 | 2016-05-13 |
1730558107 | Lagarde's Medical Transportation LLC | Non-emergency Medical Transport (VAN) | 6215 Crestway Ave, Baton Rouge, LA 70812 | 2015-09-16 |
1215226956 | Zz and I LLC | Non-emergency Medical Transport (VAN) | 9163 Cedar Ct, Baton Rouge, LA 70812 | 2011-04-04 |
1609038850 | Mccorkle Sunrise PCa/sil,llc | Chore Provider | 7262 Poinsettia Drive, Baton Rouge, LA 70812 | 2008-06-30 |
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 |
Find all providers in zip 70812 |
Taxonomy Code | 101YP2500X |
Grouping | Behavioral Health & Social Service Providers |
Classification | Counselor |
Specialization | Professional |
Definition to come... |
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 |
Find all providers in BATON ROUGE |
City | BATON ROUGE |
Zip Code | 70812 |
Please comment or provide details below to improve the information on EVOLVE WELLNESS CENTRE, 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.