EVOLVING MIND SOLUTIONS LLC NPI 1326681354

NPI Information

NPI: 1326681354
Provider Name: EVOLVING MIND SOLUTIONS, LLC
Classification: Clinic/Center - 261QM0850X
Entity Type: Organization

Specialization: Adult Mental Health

Address:
4200 S HULEN ST STE 668
FORT WORTH, TX
ZIP 76109
Phone: (817) 203-4779
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EVOLVING MIND SOLUTIONS, LLC is an adult mental health clinic center in Fort Worth, TX. The provider is an entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in adults. EVOLVING MIND SOLUTIONS, LLC NPI is 1326681354. The provider is registered as an organization entity type.

The provider's business location address is:

4200 S HULEN ST STE 668
FORT WORTH, TX
ZIP 76109-997
Phone: (817) 203-4779

The provider's authorized official is Sarah Ryan Wellborn .
The authorized official title is President and has the following contact phone number (817) 217-8444.

The enumeration date for this NPI number is 10/22/2019 and was last updated on 7/10/2020.

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
1	261QM0850X	Clinic/Center	Adult Mental Health			Yes
2	261QM0855X	Clinic/Center	Adolescent and Children Mental Health			No

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	1225577471	OTHER		TYPE 1 NPI

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: 11/14/2023

NPI Synchronization or Removal

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