180 EVOLUTION PLLC NPI 1588498760

NPI Information

NPI: 1588498760
Provider Name: 180 EVOLUTION PLLC
Classification: Clinic/Center - 261QM0801X
Specialization: Mental Health (Including Community Mental Health Center)
Entity Type: Organization
:
Address: 901 PAVERSTONE DR STE 12
RALEIGH, NC
ZIP 27615
Phone: (919) 995-8995

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NPI Details

180 EVOLUTION PLLC is a mental health (including community mental health center) clinic center in Raleigh, NC. 180 EVOLUTION PLLC NPI is 1588498760. The provider is registered as an organization entity type.
The provider .

The provider's business location address is:

901 PAVERSTONE DR STE 12
RALEIGH, NC
ZIP 27615-708
Phone: (919) 995-8995
Fax: (984) 202-2089

The provider's authorized official is Yazmeen Nilaja Irving .
The authorized official title is Owner & Provider and has the following contact phone number (919) 995-8995.

The enumeration date for this NPI number is 8/29/2024 and was last updated on 6/13/2025.

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	261QM0855X	Clinic/Center	Adolescent and Children Mental Health			No
2	261QM0801X	Clinic/Center	Mental Health (Including Community Mental Health Center)			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: 11/21/2025

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