| NPI | 1265142780 |
|---|---|
| Doing Business As | EVOLVE MENTAL HEALTH AND WELLNESS |
| Entity Type | Organization |
| Authorized Contact | TAMESHIA WIGGINS Np C 419-314-9535 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health |
| Additional Taxonomies | 261QM0850X Clinic/Center, Adult Mental Health |
| 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder | |
| 363LA2200X Nurse Practitioner, Adult Health | |
| 363LP2300X Nurse Practitioner, Primary Care | |
| Enumeration Date | 2022-11-28 |
| Last Update Date | 2024-11-19 |