EVOLVE THERAPEUTIC COUNSELING SERVICES, LLC


Address: 2021b Cunningham Dr, Suite 2, Hampton, VA 23666-3326
Phone: 7572247986

EVOLVE THERAPEUTIC COUNSELING SERVICES, LLC (NPI# 1962688341) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1962688341
Entity Type Organization
Organization Name EVOLVE THERAPEUTIC COUNSELING SERVICES, LLC
Practice Address 2021b Cunningham Dr
Suite 2
Hampton
VA 23666-3326
Mailing Address Po Box 7429
Hampton
VA 23666-0429
Practice Telephone 7572247986
Practice Fax Number 7572248321
Mailing Telephone 7572247986
Mailing Fax Number 7572248321
Enumeration Date 2008-01-15
Last Update Date 2008-01-15
Authorized Official Name VICTOR M MOODY (VICE PRESIDENT)
Authorized Official Telephone 7572247986
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 320800000X Community Based Residential Treatment Facility, Mental Illness VA Residential Treatment Facilities

Other Provider IDs and Locations

NPI Name Taxonomy Address Enumeration
1700104536 Evolve Therapeutic Counseling Services, LLC Community/Behavioral Health 2021b Cunningham Dr, Suite 2, Hampton, VA 23666-3326 2010-05-04

Office Location

Street Address 2021B CUNNINGHAM DR
SUITE 2
City HAMPTON
State VA
Zip Code 23666-3326

Providers in the same location

NPI Name Taxonomy Address Enumeration
1932648854 Absolute Home Health Care LLC Respite Care 2021b Cunningham Dr, Suite 2, Hampton, VA 23666-3326 2017-02-13
1245782192 Accommodating Brilliant Caring Travels, LLC Taxi 2021b Cunningham Dr, Suite 2, Hampton, VA 23666-3326 2016-10-26
1144699034 Group Residential and Care Establishment In Home Supportive Care 2021b Cunningham Dr, Suite 3, Hampton, VA 23666-3326 2015-09-21
1922474055 Total Care of Virginia, LLC Home Health 2021b Cunningham Dr, Suite 3, Hampton, VA 23666-3326 2015-08-12
1700104536 Evolve Therapeutic Counseling Services, LLC Community/Behavioral Health 2021b Cunningham Dr, Suite 2, Hampton, VA 23666-3326 2010-05-04

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1548824022 Melanin Excellence Medical Transportation Co LLC Non-emergency Medical Transport (VAN) 4418 East Claiborne Sq, Suite 334, Hampton, VA 23666 2019-04-30
1952880502 Exquisite Counseling Services LLC Counselor 2703 Build America Drive, Hampton, VA 23666 2018-08-13
1063999811 Speak From The Heart Speech-Language Pathologist 2 Abbott Dr, Hampton, VA 23666 2018-07-24
1245724632 Drashti Khamar Dentist 2040 Coliseum Dr # A27, Hampton, VA 23666 2018-06-19
1750874772 Dion J Roszina Private Vehicle 806 Charlton,dr, Hampton, VA 23666 2018-06-13
1205352481 Crystal Lynn Harris Counselor 2021 Cunningham Drive, Suite 400, Hampton, VA 23666 2017-08-18
1538693361 Marquis A. Norton Counselor 4410 East Claiborne Street, Suite 334, Hampton, VA 23666 2017-04-18
1194181966 Key Elements Care, LLC Case Management 20 Research Dr Ste 600, Hampton, VA 23666 2016-01-11
1740665215 Lauren-grey Gonzales Igel Hearing Instrument Specialist 1507 Hardy Cash Drive, Hampton, VA 23666 2015-07-27
1457758062 Alexandra Levine Acupuncturist 2216 Executive Dr Ste A, Hampton, VA 23666 2014-11-25
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Taxonomy Information

Taxonomy Code 320800000X
Grouping Residential Treatment Facilities
Classification Community Based Residential Treatment Facility, Mental Illness

Taxonomy Definition

A home-like residential facility providing psychiatric treatment and psycho/social rehabilitative services to individuals diagnosed with mental illness.
Notes: [7/1/2003: new]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1285035188 Family Leadership Serivces Inc Community Based Residential Treatment Facility, Mental Illness 11170 Weeping Willow Pl, Hampton, GA 30228-3286 2014-09-10
1447697131 Haven Care LLC Community Based Residential Treatment Facility, Mental Illness 11669 Kades Trl, Hampton, GA 30228-4010 2013-06-04
1912216334 Dd King Living Facilities LLC Community Based Residential Treatment Facility, Mental Illness 207 Dunn Cir, Hampton, VA 23666 2010-10-04
1609029172 Kids 4 Success, LLC Community Based Residential Treatment Facility, Mental Illness 641 Birch Ave, Hampton, VA 23661-1719 2008-10-28
1023454394 United & Empowered Care, Inc Community Based Residential Treatment Facility, Mental Illness 191 Fox Hill Rd, Suite A, Hampton, VA 23669-2360 2013-05-14

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1508487901 River City Residential Services, LLC Community Based Residential Treatment Facility, Mental Illness 2106 Hungary Rd, Richmond, VA 23228-2208 2020-04-27
1376178079 Scott's Rehabilitative House Community Based Residential Treatment Facility, Mental Illness 104 Country Club Rd, Franklin, VA 23851-2983 2020-03-03
1386298354 Quality Care Counseling Services, LLC Community Based Residential Treatment Facility, Mental Illness 18511 Rollingside Dr, South Chesterfield, VA 23834-1699 2019-07-29
1730690694 Families United, LLC Community Based Residential Treatment Facility, Mental Illness 1801 Hayward Ave, Chesapeake, VA 23320-2231 2017-10-18
1427419035 Powerhouse Unlimited Community Based Residential Treatment Facility, Mental Illness 418 N 25th St, Apt 260, Richmond, VA 23223-7564 2016-03-09
1700266277 Jan's Residential Homes Community Based Residential Treatment Facility, Mental Illness 307 N High St, Blackstone, VA 23824-1421 2015-05-31
1225426083 Divine Health Support LLC Community Based Residential Treatment Facility, Mental Illness 2050 Hanson Ln, Woodbridge, VA 22191-4545 2015-01-02
1063838126 New Lifestyles, Inc Community Based Residential Treatment Facility, Mental Illness 230 W Boscawen St, Winchester, VA 22601-4118 2014-03-13
1053742049 Pathways Youth Services LLC Community Based Residential Treatment Facility, Mental Illness 1010 Marions Trl, Halifax, VA 24558-3126 2013-12-02
1679905269 Rest Haven LLC Community Based Residential Treatment Facility, Mental Illness 1005 Bland St, Norfolk, VA 23513-3386 2013-08-06
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Competitor

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City HAMPTON
Zip Code 23666

Improve Information

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Dataset Information

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.

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