Evolutionary Intervention Llc

LBN: Evolutionary Intervention Llc
Evolutionary Intervention Llc is an health care organization with primary practice located at 17348 W 12 Mile Rd Suite 106, Southfield MI 48076-2120. The organization recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Professional, Agencies / Community/Behavioral Health. Agencies / Community/Behavioral Health is the primary health care specialty. Evolutionary Intervention Llc can be contacted via phone (888) 492-9386, or through Jackson, Sharon C via phone (888) 492-9386.

Contact Information

Primary practice address
17348 W 12 Mile Rd Suite 106 Southfield MI 48076-2120
Phone: (888) 492-9386
Fax: (888) 492-9386
Website:
Map and Directions
Authorized official contact:
Name: Jackson, Sharon C
Phone: (888) 492-9386

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Professional 101YP2500X
Agencies / Community/Behavioral Health 251S00000X

Profile Details

NPI number 1679846505
LBN Legal business name Evolutionary Intervention Llc
DBA Doing business as
Authorized official Jackson, Sharon C
Entity Organization
Organization subpart 1 No
Enumeration date Feb 23rd, 2012
Last updated May 20th, 2021 - about 5 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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