EVOLVE GROWTH INITIATIVES, LLC (NPI# 1972055812) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1972055812 |
| Entity Type | Organization |
| Organization Name | EVOLVE GROWTH INITIATIVES, LLC |
| Other Organization Name | EVOLVE TREATMENT CENTERS - SUNSET HILLS |
| Practice Address |
820 Moraga Drive Los Angeles CA 90049 |
| Mailing Address |
300 N Pacific Coast Hwy Ste 2060 El Segundo CA 90245-4479 |
| Practice Telephone | 4242815000 |
| Mailing Telephone | 7723619705 |
| Enumeration Date | 2016-10-26 |
| Last Update Date | 2020-08-20 |
| Authorized Official Name | EDDY LAI (CONTROLLER) |
| Authorized Official Telephone | 7723619705 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 323P00000X | Psychiatric Residential Treatment Facility | Residential Treatment Facilities | ||
| N | 324500000X | Substance Abuse Rehabilitation Facility | Residential Treatment Facilities | ||
| N | 3245S0500X |
Substance Abuse Rehabilitation Facility Specialization: Substance Abuse Treatment, Children |
Residential Treatment Facilities | ||
| N | 320800000X | Community Based Residential Treatment Facility, Mental Illness | Residential Treatment Facilities | ||
| Y | 261QM0855X |
Clinic/Center Specialization: Adolescent and Children Mental Health |
Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| Evolve Treatment Centers - Sunset Hills | Other Name - Individual/Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548721186 | Evolve Growth Initiatives, LLC | Clinic/Center | 263 Montego Dr, Danville, CA 94526-4842 | 2019-03-27 |
| 1689114258 | Evolve Growth Initiatives, LLC | Community Based Residential Treatment Facility, Mental Illness | 11585 Sorrento Valley Rd Ste 100, San Diego, CA 92121 | 2017-03-02 |
| 1780130088 | Evolve Growth Initiatives, LLC | Clinic/Center | 5358 Vanalden Drive, Tarzana, CA 91356 | 2016-08-28 |
| 1356793947 | Evolve Growth Initiatives, LLC | Clinic/Center | 4810 Azucena Rd, Woodland Hills, CA 91364 | 2016-07-07 |
| 1972955649 | Evolve Growth Initiatives, LLC | Community Based Residential Treatment Facility, Mental Illness | 799 Camarillo Springs Road, Ventura, CA 93012 | 2016-07-06 |
| 1083161574 | Evolve Growth Initiatives, LLC | Substance Abuse Rehabilitation Facility | 820 Moraga Dr, Los Angeles, CA 90049-1632 | 2016-09-01 |
| Street Address |
820 MORAGA DRIVE |
| City | LOS ANGELES |
| State | CA |
| Zip Code | 90049 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316564339 | Kepp Family & Group Practice | Marriage & Family Therapist | 12011 San Vincente Blvd, 408, Los Angeles, CA 90049 | 2020-06-26 |
| 1386204493 | Steven J Lehrman | Marriage & Family Therapist | 179 S. Barrington Place, Office A, Los Angeles, CA 90049 | 2019-06-20 |
| 1922562990 | Jand. Inc. | Eyewear Supplier (Equipment, not the service) | 860 S. Sepulveda Blvd., Los Angeles, CA 90049 | 2019-01-24 |
| 1851864946 | Christie Schnur | Marriage & Family Therapist | 11911 San Vicente Blvd., Los Angeles, CA 90049 | 2019-01-10 |
| 1669954012 | Barbara Jiji Schenk | Marriage & Family Therapist | 520 S. Sepulveda Blvd #402, Los Angeles, CA 90049 | 2018-09-02 |
| 1972090710 | Community Reflections Inc | Counselor | 10020 So. Western Ave, 10020 So. Western Ave, Los Angeles, CA 90049 | 2018-04-17 |
| 1245738830 | Dr. Shirin Tabib LLC | Marriage & Family Therapist | 61133 San Vincent Blvd, Suite 318 A, Los Angeles, CA 90049 | 2018-01-29 |
| 1295240679 | Robert A Brooks | Preventive Medicine | 149 South Barrington Ave, #346, Los Angeles, CA 90049 | 2017-12-07 |
| 1598286478 | Marvin S Serrano | Physical Therapy Assistant | 11740 San Vicente Boulevard Suite 205, Los Angeles, CA 90049 | 2017-06-30 |
| 1578964003 | Susan Steblay O'hara | Social Worker | 11980 San Vicente Blvd., Ste 712, Brentwood Plaza, Los Angeles, CA 90049 | 2014-09-16 |
| Find all providers in zip 90049 | ||||
| Taxonomy Code | 261QM0855X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Adolescent and Children Mental Health |
| An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in children and adolescents. Services may be provided to parents and family members of the patient in the form of conjoint, group, or individual therapy, and education and/or training. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346872728 | Wellnest Emotional Health and Wellness | Clinic/Center | 1701 E Cesar E Chavez Ave Ste 532, Los Angeles, CA 90033-2496 | 2020-02-04 |
| 1285916882 | Eggleston Youth Centers, Inc. | Clinic/Center | 3001 W Vernon Ave, Los Angeles, CA 90008-5293 | 2011-09-09 |
| 1770607095 | Children's Hospital Los Angeles | Clinic/Center | 711 N Avenue 53, Los Angeles, CA 90042-2413 | 2007-03-19 |
| 1639207434 | Parenting Institute Incorporated | Clinic/Center | 3761 Stocker St, Suite 211, Los Angeles, CA 90008-5111 | 2007-03-01 |
| 1194850842 | Tessie Cleveland Community Services Corporation | Clinic/Center | 8019 S. Compton Avenue, Los Angeles, CA 90001-3409 | 2007-02-22 |
| 1306908504 | Of One Mind LLC | Clinic/Center | 2001 South Barrington Ave, Suite 300, Los Angeles, CA 90025 | 2006-12-14 |
| 1275025140 | The Virtuous Woman, Inc | Clinic/Center | 2306 W 73rd St, Los Angeles, CA 90043-5342 | 2018-06-05 |
| 1588151484 | Key Mentoring | Clinic/Center | 11727 Barrington Ct Ste 209, Los Angeles, CA 90049-6902 | 2018-04-16 |
| 1518484799 | Dr. Lauren Stutman, Psychologist, Apc | Clinic/Center | 10323 Santa Monica Blvd Ste 111, Los Angeles, CA 90025-5056 | 2017-08-28 |
| 1053776104 | Special Service for Groups | Clinic/Center | 3727 W 6th St, Suite 402, Los Angeles, CA 90020-5112 | 2015-12-16 |
| Find all providers in LOS ANGELES | ||||
| City | LOS ANGELES |
| Zip Code | 90049 |
Please comment or provide details below to improve the information on EVOLVE GROWTH INITIATIVES, LLC.
| 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.