EVOLVE THERAPEUTIC COUNSELING SERVICES LLC NPI 1962688341

NPI Information

  • NPI: 1962688341
  • Provider Name: EVOLVE THERAPEUTIC COUNSELING SERVICES, LLC
  • Classification: Community Based Residential Treatment Facility, Mental Illness - 320800000X
  • Entity Type: Organization
  • Address: 2021B CUNNINGHAM DR
    SUITE 2
    HAMPTON, VA
    ZIP 23666
  • Phone: (757) 224-7986

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NPI Details

EVOLVE THERAPEUTIC COUNSELING SERVICES, LLC is a community based residential treatment facility mental illness in Hampton, VA. The provider is a home-like residential facility providing psychiatric treatment and psycho/social rehabilitative services to individuals diagnosed with mental illness. EVOLVE THERAPEUTIC COUNSELING SERVICES, LLC NPI is 1962688341. The provider is registered as an organization entity type.

The provider's business location address is:

2021B CUNNINGHAM DR
SUITE 2
HAMPTON, VA
ZIP 23666-326
Phone: (757) 224-7986
Fax: (757) 224-8321

The provider's authorized official is Victor M Moody .
The authorized official title is Vice President and has the following contact phone number (757) 224-7986.

The enumeration date for this NPI number is 1/15/2008 and was last updated on 1/15/2008.

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
1320800000XCommunity Based Residential Treatment Facility, Mental IllnessVIRGINIAYes

What is NPI?

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This page was last updated on: 11/21/2025

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