EVOLUTION WELLNESS CENTER PLLC NPI 1629740592

NPI Information

NPI: 1629740592
Provider Name: EVOLUTION WELLNESS CENTER, PLLC
Classification: Counselor - 101YP2500X
Entity Type: Organization

Specialization: Professional

Address:
5717 MCDOUGAL DR
FAYETTEVILLE, NC
ZIP 28304
Phone: (910) 273-8054
Get Directions

EVOLUTION WELLNESS CENTER, PLLC is a professional counselor in Fayetteville, NC. EVOLUTION WELLNESS CENTER, PLLC NPI is 1629740592. The provider is registered as an organization entity type and is a multiple single specialty group.

The provider's business location address is:

5717 MCDOUGAL DR
FAYETTEVILLE, NC
ZIP 28304-992
Phone: (910) 273-8054
Fax: (910) 401-1017

The provider's authorized official is Valerie Sinclair .
The authorized official title is Owner/therapist and has the following contact phone number (910) 273-8054.

The enumeration date for this NPI number is 9/29/2021 and was last updated on 9/29/2021.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	Primary
1	101YA0400X	Counselor	Addiction (Substance Use Disorder)	No
2	103T00000X	Psychologist		No
3	103TC0700X	Psychologist	Clinical	No
4	103TC2200X	Psychologist	Clinical Child & Adolescent	No
5	103TF0000X	Psychologist	Family	No
6	103TP2701X	Psychologist	Group Psychotherapy	No
7	103TS0200X	Psychologist	School	No
8	1041C0700X	Social Worker	Clinical	No
9	106E00000X	Assistant Behavior Analyst		No
10	106S00000X	Behavior Technician		No
11	133N00000X	Nutritionist		No
12	133NN1002X	Nutritionist	Nutrition, Education	No
13	225700000X	Massage Therapist		No
14	225800000X	Recreation Therapist		No
15	101YP2500X	Counselor	Professional	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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