EVOLVE LIFE CENTERS IOP LLC is a mental health (including community mental health center) clinic center in Pasadena, MD. EVOLVE LIFE CENTERS IOP LLC NPI is 1568123966. The provider is registered as an organization entity type. The provider Is Doing Business As Elc Mental Health Services.
The provider's business location address is:
2528 MOUNTAIN RD STE 102-204 PASADENA, MD ZIP 21122-203 Phone: (443) 548-3733 Fax: (410) 360-1675
The provider's authorized official is Jessie Costley . The authorized official title is Credentialing Specialist and has the following contact phone number (443) 548-3733.
The CLIA number assigned to this NPI record is 21D2146177 - other - iop substance abuse with a certificate type of Certificate of Waiver.
The enumeration date for this NPI number is 1/7/2022 and was last updated on 3/24/2023.
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:
The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.
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: 11/21/2025
NPI Synchronization or Removal
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