THOUGHT EVOLUTION LLC.


Address: 847 N Milton Ave, Baltimore, MD 21205-1613
Phone: 4439458581

THOUGHT EVOLUTION LLC. (NPI# 1831713536) 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) 1831713536
Entity Type Organization
Organization Name THOUGHT EVOLUTION LLC.
Practice Address 847 N Milton Ave
Baltimore
MD 21205-1613
Mailing Address 1111 Park Ave Apt 410
Baltimore
MD 21201-5608
Practice Telephone 4439458581
Mailing Telephone 4439458581
Enumeration Date 2020-05-29
Last Update Date 2020-05-29
Authorized Official Name JOHN MARVIN BROWN (AO)
Authorized Official Telephone 4439458581
Authorized Official Credential LCADC
Is Organization Subpart Y
Parent Organization Name THOUGHT EVOLUTION LLC

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 261QR0405X Clinic/Center
Specialization: Rehabilitation, Substance Use Disorder
Ambulatory Health Care Facilities

Provider Secondary Practice Location

Address Telephone Number Fax Number
2307 Ashland Ave, Baltimore, MD 212051625 4439458581
2308 Ashland Ave, Baltimore, MD 212051626 4439458581

Other Provider IDs and Locations

NPI Name Taxonomy Address Enumeration
1467817049 Thought Evolution LLC. Community/Behavioral Health 1111 Park Ave Apt 410, Baltimore, MD 21201-5608 2015-12-23

Office Location

Street Address 847 N MILTON AVE
City BALTIMORE
State MD
Zip Code 21205-1613

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Taxonomy Information

Taxonomy Code 261QR0405X
Grouping Ambulatory Health Care Facilities
Classification Clinic/Center
Specialization Rehabilitation, Substance Use Disorder

Taxonomy Definition

Definition to come...

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Competitor

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City BALTIMORE
Zip Code 21205

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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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