EVOLVE THERAPY LLC (NPI# 1669026324) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1669026324 |
| Entity Type | Organization |
| Organization Name | EVOLVE THERAPY LLC |
| Practice Address |
786 Blanding Blvd Ste 120 Orange Park FL 32065-6728 |
| Practice Telephone | 9043859240 |
| Mailing Telephone | 9043859240 |
| Enumeration Date | 2019-07-30 |
| Last Update Date | 2019-07-30 |
| Authorized Official Name | PETERGAY STERLING (PSYCHOTHERAPIST) |
| Authorized Official Telephone | 9043859240 |
| Authorized Official Credential | LMHC |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922631100 | Evolve Therapy LLC | Physical Therapist | 77 Newark Ave, Belleville, NJ 07109-4143 | 2020-02-17 |
| 1164080297 | Evolve Therapy LLC | Counselor | 201 International Cir Ste 230, Cockeysville, MD 21030-1344 | 2019-06-04 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Connecticut Business Registrations | EVOLVE THERAPY LLC | 29 Dairy Farm Drive, Brookfield, CT 06804 |
| Street Address |
786 BLANDING BLVD STE 120 |
| City | ORANGE PARK |
| State | FL |
| Zip Code | 32065-6728 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538709514 | Gardner Orthodontics | Dentist | 518 Hollyberry Lane, Suite 105, Orange Park, FL 32065 | 2020-01-08 |
| 1093366205 | Milagros J Morales | Nurse Practitioner | 625 Oakleaf Plantation Parkway, Unit 815, Orange Park, FL 32065 | 2019-09-28 |
| 1396239570 | Rebekah Lynne Fronczak | Assistant Behavior Analyst | 575 Oakleaf Plantation Pkwy, 1210, Orange Park, FL 32065 | 2018-06-20 |
| 1124512942 | Comfortable Care Dental Health Professionals. P.a. | Dentist | 1081 Oakleaf Plantation Pkwy, Orange Park, FL 32065 | 2018-06-15 |
| 1447637772 | Petergay Angeleque Sterling | Counselor | 2114 Club Lake Drive, Orange Park, FL 32065 | 2015-05-06 |
| 1073942991 | Joy L. Dozier Smith | Social Worker | 1363 Akron Oaks Drive, Orange Park, FL 32065 | 2013-11-01 |
| 1942635800 | Demetta Vereen | Counselor | 573 Oakleaf Plantation Pkwy Unit 126, Orange Park, FL 32065 | 2013-09-11 |
| 1902248412 | Bashar Adeinat | Dentist | 1340 Blanding Blvd Ste 108, Orange Park, FL 32065 | 2013-07-25 |
| 1912253030 | Physical Therapy and Rehabilitation Clinic Inc | Physical Therapist | 1075 Oakleaf Plantation Parkway, Suite 105, Orange Park, FL 32065 | 2012-07-26 |
| 1275894529 | Stacy Quinn | Family Medicine | 769 Blanding Blvd Ste 7, Orange Park, FL 32065 | 2012-06-04 |
| Find all providers in zip 32065 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104449008 | Ashanti Crystal Belle | Counselor | 341 Pecan Grove Dr, Orange Park, FL 32073-1945 | 2020-05-26 |
| 1992343057 | Rodney Staten | Counselor | 1050 Prairie Dunes Ct, Orange Park, FL 32065-2679 | 2019-12-19 |
| 1649817867 | Darlene Cuevas | Counselor | 2140 Kingsley Ave Ste 2, Orange Park, FL 32073-5129 | 2019-12-06 |
| 1124673249 | Family Connections Consultants | Counselor | 685 Charter Oaks Blvd, Orange Park, FL 32065-3211 | 2019-08-06 |
| 1952955965 | Tara Bryant | Counselor | 813 Maplewood Ln, Orange Park, FL 32065-6233 | 2019-07-29 |
| 1821596545 | Sheila Jean Heilman | Counselor | 2348 Glenfinnan Dr, Orange Park, FL 32073-4200 | 2018-01-28 |
| 1558890392 | J-nissi's Therapy & Counseling LLC | Counselor | 1536 Kingsley Ave Ste 120, Orange Park, FL 32073-4525 | 2017-06-06 |
| 1326597956 | Charlotte Goodson | Counselor | 2864 Moody Ave, Orange Park, FL 32073-6423 | 2016-09-23 |
| 1942673546 | Jennie Fernandez Beltz | Counselor | 2233 Park Ave Ste 301, Orange Park, FL 32073-5569 | 2015-11-04 |
| 1184095846 | Jada Helmer | Counselor | 786 Blanding Blvd Ste 120&122, Orange Park, FL 32065-7725 | 2015-10-07 |
| Find all providers in ORANGE PARK | ||||
| City | ORANGE PARK |
| Zip Code | 32065 |
Please comment or provide details below to improve the information on EVOLVE THERAPY 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.