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Contact Information

EVOLUTIS, LLC
1504 GRAND CENTRAL AVE
VIENNA, WV26105-1058
 Phone: 877-219-8726
 Fax: 847-960-5360
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Clinical

103TC0700X 62 Psychologist, Clinical
 

Addiction (Substance Use Disorder)

103TA0400X 62 Psychologist, Clinical
Indicates primary specialty

NPI Profile & details for EVOLUTIS, LLC

NPI # 1821657941
LBN Legal business name EVOLUTIS, LLC
Authorized official SHEEL PATEL - (CEO)
Entity Organization
Organization subpart 1 No
Enumeration date 06/12/2019
Last updated 09/15/2022 - About 4 years ago
Identifiers n/a
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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