| NPI | 1386260289 |
|---|---|
| Doing Business As | EVOLVE WELLNESS GROUP |
| Entity Type | Organization |
| Authorized Contact | SHALANDA JUDGE Owner 225-206-4060 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, |
| Enumeration Date | 2020-06-17 |
| Last Update Date | 2020-06-17 |