Evolve Behavioral Health, Llc

LBN: Evolve Behavioral Health, Llc
Evolve Behavioral Health, Llc is an health care organization with primary practice located at 2628 Hough Rd , Florence AL 35630-1747. The organization recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health. Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health is the primary health care specialty. Evolve Behavioral Health, Llc can be contacted via phone (256) 394-0880, or through Tidwell, Jessi Blackstock via phone (256) 394-0880.

Contact Information

Primary practice address
2628 Hough Rd Florence AL 35630-1747
Phone: (256) 394-0880
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Tidwell, Jessi Blackstock CRNP
Phone: (256) 394-0880

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 363LP0808X

Profile Details

NPI number 1316708993
LBN Legal business name Evolve Behavioral Health, Llc
DBA Doing business as
Authorized official Tidwell, Jessi Blackstock CRNP
Entity Organization
Organization subpart 1 No
Enumeration date Jan 19th, 2024
Last updated Jan 19th, 2024 - about 2 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.

Request for update

Popular Providers