EVO HEALTH AND WELLNESS LLC NPI 1306330568

NPI Information

EVO HEALTH AND WELLNESS, LLC is a mental health counselor in Venice, CA. EVO HEALTH AND WELLNESS, LLC NPI is 1306330568. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Former Legal Business Name Is Sanyama Behavioral And Mental Health, Llc..

The provider's business location address is:

340 SUNSET AVE
VENICE, CA
ZIP 90291-632
Phone: (210) 246-4756

The provider's authorized official is Koorosh Rassekh .
The authorized official title is Managing Member and has the following contact phone number (310) 205-6991.

The enumeration date for this NPI number is 6/20/2018 and was last updated on 6/20/2018.

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:

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