EVOLVE SUPPORT SERVICES LLC NPI 1972399921

NPI Information

  • NPI: 1972399921
  • Provider Name: EVOLVE SUPPORT SERVICES, LLC
  • Classification: Community/Behavioral Health - 251S00000X
  • Entity Type: Organization
  • Address: 10936 GOLD PAN RD
    CHARLOTTE, NC
    ZIP 28215
  • Phone: (704) 839-1977

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NPI Details

EVOLVE SUPPORT SERVICES, LLC is a community behavioral health in Charlotte, NC. The provider is a private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment. EVOLVE SUPPORT SERVICES, LLC NPI is 1972399921. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

10936 GOLD PAN RD
CHARLOTTE, NC
ZIP 28215-603
Phone: (704) 839-1977

The provider's authorized official is Sylvia Whitney Williams-jerrell .
The authorized official title is Owner/director and has the following contact phone number (704) 839-1977.

The enumeration date for this NPI number is 4/16/2025 and was last updated on 7/25/2025.

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
1175T00000XPeer SpecialistNo
2251B00000XCase ManagementNo
3251C00000XDay Training, Developmentally Disabled ServicesNo
4343900000XNon-emergency Medical Transport (VAN)No
5251S00000XCommunity/Behavioral HealthYes

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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