EVOLVE GROWTH INITIATIVES LLC NPI 1922581297

NPI Information

NPI: 1922581297
Provider Name: EVOLVE GROWTH INITIATIVES LLC
Classification: Clinic/Center - 261QM0855X
Specialization: Adolescent and Children Mental Health
Entity Type: Organization
:
CLIA Number: 05D2160197
Address: 1991 PARK AVE
SAN JOSE, CA
ZIP 95126
Phone: (424) 281-5000

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NPI Details

EVOLVE GROWTH INITIATIVES LLC is an adolescent and children mental health clinic center in San Jose, CA. 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 children and adolescents. Services may be provided to parents and family members of the patient in the form of conjoint, group, or individual therapy, and education and/or training. EVOLVE GROWTH INITIATIVES LLC NPI is 1922581297. The provider is registered as an organization entity type.
The provider .

The provider's business location address is:

1991 PARK AVE
SAN JOSE, CA
ZIP 95126-423
Phone: (424) 281-5000

The provider's authorized official is Eddy Lai .
The authorized official title is Cfo and has the following contact phone number (424) 290-3341.

The CLIA number assigned to this NPI record is 05D2160197 - other - residential treatment with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 9/12/2018 and was last updated on 11/12/2025.

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	Primary
1	3245S0500X	Substance Abuse Rehabilitation Facility	Substance Abuse Treatment, Children	No
2	324500000X	Substance Abuse Rehabilitation Facility		No
3	320800000X	Community Based Residential Treatment Facility, Mental Illness		No
4	323P00000X	Psychiatric Residential Treatment Facility		No
5	261QM0855X	Clinic/Center	Adolescent and Children Mental Health	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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