EVOLUTION PSYCHIATRIC AND MENTAL HEALTH SERVICES LLC NPI 1972262699

NPI Information

NPI: 1972262699
Provider Name: EVOLUTION PSYCHIATRIC AND MENTAL HEALTH SERVICES, LLC

Doing Business As: EVOLUTION HEALTH

Classification: Clinic/Center - 261QM0801X
Entity Type: Organization

Specialization: Mental Health (Including Community Mental Health Center)

Address:
1204 NW 69TH TER STE B
GAINESVILLE, FL
ZIP 32605
Phone: (352) 575-3600
Get Directions

EVOLUTION PSYCHIATRIC AND MENTAL HEALTH SERVICES, LLC is a mental health (including community mental health center) clinic center in Gainesville, FL. EVOLUTION PSYCHIATRIC AND MENTAL HEALTH SERVICES, LLC NPI is 1972262699. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Evolution Health.

The provider's business location address is:

1204 NW 69TH TER STE B
GAINESVILLE, FL
ZIP 32605-139
Phone: (352) 575-3600
Fax: (352) 641-9592

The provider's authorized official is Aijay Richards .
The authorized official title is Pmhnp and has the following contact phone number (352) 575-3600.

The enumeration date for this NPI number is 12/9/2021 and was last updated on 1/28/2024.

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	2084P0800X	Psychiatry & Neurology	Psychiatry	No
2	261QM0850X	Clinic/Center	Adult Mental Health	No
3	261QM0855X	Clinic/Center	Adolescent and Children Mental Health	No
4	363LP0808X	Nurse Practitioner	Psychiatric/Mental Health	No
5	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: 5/5/2024

NPI Synchronization or Removal

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