EVOLVING MIND SOLUTIONS, LLC (NPI# 1326681354) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1326681354 |
| Entity Type | Organization |
| Organization Name | EVOLVING MIND SOLUTIONS, LLC |
| Practice Address |
4200 S Hulen St Ste 668 Fort Worth TX 76109-4997 |
| Mailing Address |
4200 S Hulen St Ste 689 Fort Worth TX 76109-4914 |
| Practice Telephone | 8172034779 |
| Mailing Telephone | 8172034779 |
| Enumeration Date | 2019-10-22 |
| Last Update Date | 2020-07-10 |
| Authorized Official Name | MRS. SARAH RYAN WELLBORN (PRESIDENT) |
| Authorized Official Telephone | 8172178444 |
| Authorized Official Credential | LCSW |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 261QM0855X |
Clinic/Center Specialization: Adolescent and Children Mental Health |
Ambulatory Health Care Facilities | ||
| Y | 261QM0850X |
Clinic/Center Specialization: Adult Mental Health |
Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TYPE 1 NPI | 1225577471 | 01 |
| Street Address |
4200 S HULEN ST STE 668 |
| City | FORT WORTH |
| State | TX |
| Zip Code | 76109-4997 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881156164 | Elizabeth Laborde Dds Pllc | Clinic/Center | 5656 Edwards Ranch Rd, Fort Worth, TX 76109 | 2019-04-04 |
| 1992273965 | Debra Cooper Lantz | Occupational Therapist | 4252 Bryant Irvin Road, Fort Worth, TX 76109 | 2018-11-08 |
| 1417434119 | Dermatology Specialists of Fort Worth Pllc | Dermatology | 6100 Southwest Blvd., Suite 100, Fort Worth, TX 76109 | 2018-07-25 |
| 1417446709 | Eating Recovery Center of Texas, LLC | Clinic/Center | 4200 S. Hulen Street, Suite #436, Ft. Worth, TX 76109 | 2018-05-02 |
| 1245751742 | Marissa Izabel San Miguel | Optometrist | 5912 Convair Dr Ste 208, Fort Worth, TX 76109 | 2017-07-05 |
| 1174910111 | Parkway Dental Professionals | Preferred Provider Organization | 4200 Bryant Irvin Rd. Ste. 101, Fort Worth, TX 76109 | 2015-04-16 |
| 1831583095 | Deborah K Lehmann, M.d. | Clinic/Center | 6420 Southwest Blvd., #128, Fort Worth, TX 76109 | 2015-03-26 |
| 1184036428 | Ft Worth Ranch Assist, LLC | Neurological Surgery | 3516 Ranch View Terrace, Fort Worth, TX 76109 | 2014-05-21 |
| 1821435538 | Metx LLC | Hearing Instrument Specialist | 4618 Sw Loop 820, Fort Worth, TX 76109 | 2013-06-04 |
| 1356608087 | Virginia Flores | Social Worker | 4208 Ranier Ct, Fort Worth, TX 76109 | 2012-04-19 |
| Find all providers in zip 76109 | ||||
| Taxonomy Code | 261QM0850X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Adult Mental Health |
| An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in adults. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174097661 | Holistic Behavioral Solutions Inc | Clinic/Center | 5532 Grenada Dr, Fort Worth, TX 76119-8501 | 2019-01-17 |
| 1982836250 | Phoenix Associates Counseling Services, Inc. | Clinic/Center | 3001-a W 5th Street, Fort Worth, TX 76107-2200 | 2009-08-20 |
| 1114487329 | Paul L Warren, Psyd, PC | Clinic/Center | 5658 Westcreek Dr Ste 400, Fort Worth, TX 76133-2254 | 2019-03-22 |
| 1831529080 | Vanzanell Edwards | Clinic/Center | 7801 Marlborough Dr W, Fort Worth, TX 76134-4309 | 2013-11-24 |
| 1871851527 | Sandra Davis Md, Pa | Clinic/Center | 5560 Mesa Springs Dr, Fort Worth, TX 76123-2120 | 2012-05-01 |
| 1316184690 | Blessed Beginings | Clinic/Center | 420 Tierney Rd, Fort Worth, TX 76112-6324 | 2009-01-08 |
| 1265615827 | Recreation Therapy Service | Clinic/Center | 6000 Western Pl, 300, Fort Worth, TX 76107-4607 | 2007-12-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932713179 | The Orion Center | Clinic/Center | 4606 Westway Park Blvd, Houston, TX 77041-2036 | 2020-09-04 |
| 1629682968 | Infinity Counseling & Assessment Center | Clinic/Center | 200 S 14th St Ste 150, Midlothian, TX 76065-3361 | 2020-09-03 |
| 1902418809 | Home Alliance Services LLC | Clinic/Center | 539 W Commerce St Ste 2472, Dallas, TX 75208-1953 | 2020-08-20 |
| 1912516675 | Infinity Therapy LLC | Clinic/Center | 5510 S Rice Ave Apt 1913, Houston, TX 77081-2156 | 2020-07-29 |
| 1710505318 | The Women's Home | Clinic/Center | 811 Westheimer Rd, Houston, TX 77006-3917 | 2020-07-09 |
| 1912524943 | New Hope Counseling & Wellness Pllc | Clinic/Center | 5405 Wellington Dr, Richardson, TX 75082-2702 | 2020-06-25 |
| 1962028050 | Mindful Living Center, LLC | Clinic/Center | 420 Decker Dr, Irving, TX 75062-3952 | 2020-06-24 |
| 1922624410 | Against The Grain Counseling | Clinic/Center | 6700 Menchaca Rd, Austin, TX 78745-5010 | 2020-06-19 |
| 1376169268 | Bolin Counseling Services Pllc | Clinic/Center | 555 Round Rock West Dr Ste E222, Round Rock, TX 78681-5052 | 2020-06-17 |
| 1376168682 | Edge of Town Productions, LLC | Clinic/Center | 746 Dayridge Dr, Dripping Springs, TX 78620-2128 | 2020-06-11 |
| Find all providers with the same taxonomy | ||||
| City | FORT WORTH |
| Zip Code | 76109 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.