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EVOKE WELLNESS LLC NPI 1972003523


NPI Information

NPI: 1972003523
Provider Name: EVOKE WELLNESS LLC
Classification: Substance Abuse Rehabilitation Facility - 324500000X
Entity Type: Organization

CLIA Number: 10D2147973

Address:
3600 RED RD STE 501
MIRAMAR, FL
ZIP 33025
Phone: (954) 228-1828
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EVOKE WELLNESS LLC is a substance abuse rehabilitation facility in Miramar, FL. The provider is a facility or distinct part of a facility that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of individuals with disorders in the abuse of drugs, alcohol, and other substances. EVOKE WELLNESS LLC NPI is 1972003523. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

3600 RED RD STE 501
MIRAMAR, FL
ZIP 33025-015
Phone: (954) 228-1828
Fax: (954) 990-6305

The provider's authorized official is Sherita Chang .
The authorized official title is Cro/partner and has the following contact phone number (954) 993-2040.

The CLIA number assigned to this NPI record is 10D2147973 - ancillary testing site in health care center with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 2/20/2018 and was last updated on 4/27/2023.


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 License Number License State Primary
12084B0040XPsychiatry & NeurologyBehavioral Neurology & NeuropsychiatryNo
22084P0800XPsychiatry & NeurologyPsychiatryNo
32084P0802XPsychiatry & NeurologyAddiction PsychiatryNo
4320800000XCommunity Based Residential Treatment Facility, Mental IllnessNo
5324500000XSubstance Abuse Rehabilitation Facility1019010FLORIDAYes

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: 5/5/2024

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