EVOLVE COUNSELING AND WELLNESS, LLC (NPI# 1760965297) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1760965297 |
| Entity Type | Organization |
| Organization Name | EVOLVE COUNSELING AND WELLNESS, LLC |
| Practice Address |
900 Haddon Ave Ste 336 Collingswood NJ 08108-2112 |
| Mailing Address |
239 Burrwood Ave Haddon Township NJ 08108-1724 |
| Practice Telephone | 8564952480 |
| Mailing Telephone | 8564952480 |
| Enumeration Date | 2018-09-11 |
| Last Update Date | 2018-10-19 |
| Authorized Official Name | JESSICA A. CHARLTON (OWNER) |
| Authorized Official Telephone | 8564952480 |
| Authorized Official Credential | LPC |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 251S00000X | Community/Behavioral Health | Agencies | ||
| Y | 261QM0801X |
Clinic/Center Specialization: Mental Health (Including Community Mental Health Center) |
Ambulatory Health Care Facilities |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 239 Burrwood Ave, Haddon Township, NJ 081081724 | 8564952480 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275088486 | Evolve Counseling and Wellness, LLC | Social Worker | 3535 W 44th Ave, Denver, CO 80211-1313 | 2016-08-17 |
| Street Address |
900 HADDON AVE STE 336 |
| City | COLLINGSWOOD |
| State | NJ |
| Zip Code | 08108-2112 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790118941 | Jessica Ann Charlton | Counselor | 900 Haddon Ave Ste 336, Collingswood, NJ 08108 | 2013-08-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629569942 | Breathe Life Physical Therapy & Wellness | Physical Therapist | 915 Haddon Ave, Collingswood, NJ 08108 | 2018-05-22 |
| 1144718545 | Genesis Counseling Center, Inc | Counselor | 566 Hadden Ave, Collingswood, NJ 08108 | 2018-05-01 |
| 1417486069 | Village Wrap, Inc | Clinic/Center | 316 Haddon Avenue, Collingsgwood, NJ 08108 | 2017-06-07 |
| 1518493915 | Bancroft Neurohealth | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 905 Stokes Ave, Collingswood, NJ 08108 | 2017-05-04 |
| 1932659778 | Virtua Medical Group, Pa | Clinic/Center | 602 W Cuthbert Blvd Unit 26, Haddon Township, NJ 08108 | 2016-10-05 |
| 1467808543 | Kevin M Lenny | Social Worker | 215 Highland Avenue Suite C, Haddon Township, NJ 08108 | 2016-05-09 |
| 1477933083 | Tam Thien Tran | Pharmacist | 7 Mac Arthur Blvd #n0515, Haddon Township, NJ 08108 | 2015-06-09 |
| 1619364536 | United Methodist Homes of New Jersey | Assisted Living Facility | 460 Haddon Avenue, Collingswood, NJ 08108 | 2015-04-17 |
| 1326465808 | Jacqueline Yvonne Thomas | Counselor | 566 Haddon Ave., Genesis Counseling Services, Collingswood, NJ 08108 | 2014-03-24 |
| 1578813135 | Kayla T Bradshaw | Social Worker | 566 Haddon Avenue, Collingswood, NJ 08108 | 2012-09-11 |
| Find all providers in zip 08108 | ||||
| Taxonomy Code | 261QM0801X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Mental Health (Including Community Mental Health Center) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871067173 | Welcome Connections Counseling | Clinic/Center | 601 Haddon Ave Ste 106, Collingswood, NJ 08108-3740 | 2019-01-20 |
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| 1043828809 | Symbol of Hope Counseling, LLC | Clinic/Center | 400 Riverview Drive Suite 104, Suite 104, Brielle, NJ 08730-0873 | 2020-07-17 |
| 1013525971 | Jrm Psychological Services LLC | Clinic/Center | 330 Mounts Corner Dr # 211, Freehold, NJ 07728-2558 | 2020-07-16 |
| 1316565575 | Aspire Therapy Services LLC | Clinic/Center | 101 Hudson St Ste 2152, Jersey City, NJ 07302-3907 | 2020-07-13 |
| 1619595915 | Cean Mental Wellness Services LLC | Clinic/Center | 786 King George Rd Ste 2, Fords, NJ 08863-1981 | 2020-07-13 |
| 1982221479 | Ramona A Crofoot, LLC Dba Kaleidoscope Transformations Wellness Cent | Clinic/Center | 371 Lakehurst Rd, Toms River, NJ 08755-7393 | 2020-06-30 |
| 1104440080 | Flora Martins Degeorge | Clinic/Center | Center for Psychotherapy, 215 Ridgedale Av, Florham Park, NJ 07932-0793 | 2020-06-05 |
| 1407478498 | Clear Thoughts Healthcare LLC | Clinic/Center | 2386 Morris Avenue Manhattan Lighting Building, Suite 107-109, Union, NJ 07083-0884 | 2020-05-12 |
| Find all providers with the same taxonomy | ||||
| City | COLLINGSWOOD |
| Zip Code | 08108 |
Please comment or provide details below to improve the information on EVOLVE COUNSELING AND WELLNESS, 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.