EVOLVE GROWTH INITIATIVES, LLC


Address: 799 Camarillo Springs Road, Ventura, CA 93012
Phone: 4242815000

EVOLVE GROWTH INITIATIVES, LLC (NPI# 1972955649) 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) 1972955649
Entity Type Organization
Organization Name EVOLVE GROWTH INITIATIVES, LLC
Other Organization Name EVOLVE TREATMENT CENTERS - CAMARILLO
Practice Address 799 Camarillo Springs Road
Ventura
CA 93012
Mailing Address 300 N Pacific Coast Hwy Ste 2060
El Segundo
CA 90245-4479
Practice Telephone 4242815000
Mailing Telephone 7723619705
Enumeration Date 2016-07-06
Last Update Date 2020-08-20
Authorized Official Name EDDY LAI (CONTROLLER)
Authorized Official Telephone 7723619705
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 320800000X Community Based Residential Treatment Facility, Mental Illness Residential Treatment Facilities
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
Y 261QM0855X Clinic/Center
Specialization: Adolescent and Children Mental Health
Ambulatory Health Care Facilities

Other Provider/Organization Names

Other Name Type Code
Evolve Treatment Centers - Camarillo Other Name - Individual/Organization

Other Provider IDs and Locations

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
1972055812 Evolve Growth Initiatives, LLC Psychiatric Residential Treatment Facility 820 Moraga Drive, Los Angeles, CA 90049 2016-10-26
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
1083161574 Evolve Growth Initiatives, LLC Substance Abuse Rehabilitation Facility 820 Moraga Dr, Los Angeles, CA 90049-1632 2016-09-01

Office Location

Street Address 799 CAMARILLO SPRINGS ROAD
City VENTURA
State CA
Zip Code 93012

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1992322895 Natasha Nichole Johnson Licensed Vocational Nurse 1750 A S Lewis Rs, Camarillo, CA 93012 2020-06-26
1609392604 Dain Emmanuel Acevedo Counselor 5284 Adolfo Road Suite 100, Camarillo, CA 93012 2017-08-21
1679093751 Emily Sophia Rodriguez Counselor 5284 Adolfo Rd. Suite 100, Camarillo, CA 93012 2017-06-21
1164952750 Valerie Marie Inez Rivera Counselor 5284 Adolfo Rd #100, Camarillo, CA 93012 2017-06-15
1457890709 Constance Walsh Prosthetic/Orthotic Supplier 795 Camarillo Springs Rd, Suite C, Carmarillo, CA 93012 2017-02-20
1902349020 Ferdinand Fortune Cuico Registered Nurse 421 Brister Park Ct, Camarillo, CA 93012 2016-11-21
1699226795 Lauren Streiter Counselor 1750b S Lewis Rd, Camarillo, CA 93012 2016-10-24
1083075089 Justin Rodriguez Urbano Dental Hygienist 4422 Corte Arbusto, Camarillo, CA 93012 2016-03-18
1578924619 Leslie Winn Counselor 291 Camino Leon, Camarillo, CA 93012 2016-03-17
1417355496 Jessieka Mata Social Worker 5284 Aldolfo Rd., Camarillo, CA 93012 2014-12-08
Find all providers in zip 93012

Taxonomy Information

Taxonomy Code 261QM0855X
Grouping Ambulatory Health Care Facilities
Classification Clinic/Center
Specialization Adolescent and Children Mental Health

Taxonomy Definition

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]

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1073112157 10-20 Club Inc. Clinic/Center 8221 3rd St Ste 403, Downey, CA 90241-3733 2020-10-20
1447857040 Mary Cox, Lmft Clinic/Center 13800 Heacock St Ste 230a, Moreno Valley, CA 92553-8824 2020-10-06
1821607771 Tonya Octave, Lcsw, Prof Corp Clinic/Center 237 S Lakeview Ave Ste A, Placentia, CA 92870-6756 2020-07-27
1972121762 Environmental Alternatives Susanville Clinic/Center 2003 Main St, Susanville, CA 96130-4501 2020-07-08
1083231781 Treehouse Child Therapy Professional Corporation Clinic/Center 514 N California Ave Ste 13, Beaumont, CA 92223-2120 2020-06-29
1083230262 Socal Adolescent Wellness, Inc. Clinic/Center 23072 Lake Center Dr Ste 214, Lake Forest, CA 92630-2899 2020-06-23
1447876123 P.h.i.l.o.s.adolescent Treatment Centers, Inc. Clinic/Center 454 E Cerritos St, Rialto, CA 92376-3658 2020-06-18
1669098505 Rowi Valencia, Inc. Clinic/Center 27413 Tourney Rd Ste 150, Valencia, CA 91355-5604 2020-06-16
1386267870 Bni Treatment Centers Clinic/Center 2563 Stokes Canyon Rd, Calabasas, CA 91302-2991 2020-05-19
1538781042 P.h.i.l.o.s.adolescent Treatment Centers, Inc. Clinic/Center 3872 Carthage St, Riverside, CA 92501-2102 2020-05-07
Find all providers with the same taxonomy

Competitor

Search similar providers

City VENTURA
Zip Code 93012

Improve Information

Please comment or provide details below to improve the information on EVOLVE GROWTH INITIATIVES, LLC.

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.

Trending Searches