National Provider Identifier Database

EVOLVE LLC
Mental Health (Including Community Mental Health Center)


Contact Information

EVOLVE LLC
3416 ASSOCIATION DR
APPLETON, WI54914
Phone: 920-364-9078
Fax: 920-243-1792
Website:
Specialty Taxonomy Code
* Mental Health (Including Community Mental Health Center) 261QM0801X
Adolescent and Children Mental Health 261QM0855X
Adult Mental Health 261QM0850X
Professional 101YP2500X
Psychiatric Residential Treatment Facility 323P00000X

* Indicates primary specialty

NPI Profile & details for EVOLVE LLC

NPI Number 1821541137
Legal business name
LBN
EVOLVE LLC
Authorized official ELLIOTT RICHELSON - (AUTHORIZED OFFICIAL)
Entity Organization
Organization subpart No
Enumeration date 08/03/2016
Last updated 06/29/2023 - About 3 years ago
Sole proprietor1 Not specified
Identifiers n/a

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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