PERSONAL EVOLUTION LLC NPI 1598260630

NPI Information

NPI: 1598260630
Provider Name: PERSONAL EVOLUTION LLC
Classification: Counselor - 101YP2500X
Entity Type: Organization

Specialization: Professional

Address:
2551 E LEHIGH AVE
PHILADELPHIA, PA
ZIP 19125
Phone: (215) 469-1155
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PERSONAL EVOLUTION LLC is a professional counselor in Philadelphia, PA. PERSONAL EVOLUTION LLC NPI is 1598260630. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

2551 E LEHIGH AVE
PHILADELPHIA, PA
ZIP 19125-831
Phone: (215) 469-1155

The provider's authorized official is Katherine Glick .
The authorized official title is Ceo/founder and has the following contact phone number (215) 469-1155.

The enumeration date for this NPI number is 3/29/2018 and was last updated on 3/29/2018.

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:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	101YA0400X	Counselor	Addiction (Substance Use Disorder)	37LC00180700	NEW JERSEY	No
2	101YP2500X	Counselor	Professional	37PC00477600	NEW JERSEY	Yes
3	101YP2500X	Counselor	Professional	PC009315	PENNSYLVANIA	No

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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