Evolve Health Llc

LBN: Evolve Health Llc
Evolve Health Llc is an health care organization with primary practice located at 5821 Cedar Lake Rd S Suite 8, St Louis Park MN 55416-1487. The organization recently has only one registered license in Behavioral Health & Social Service Providers / Marriage & Family Therapist, which is considered as the primary health care specialty. Evolve Health Llc can be contacted via phone (612) 245-8661, or through Blondell, Kelly via phone (612) 245-8661.

Contact Information

Primary practice address
5821 Cedar Lake Rd S Suite 8 St Louis Park MN 55416-1487
Phone: (612) 245-8661
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Blondell, Kelly LMFT
Phone: (612) 245-8661

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Marriage & Family Therapist 106H00000X 1658 Minnesota

Profile Details

NPI number 1285177402
LBN Legal business name Evolve Health Llc
DBA Doing business as
Authorized official Blondell, Kelly LMFT
Entity Organization
Organization subpart 1 No
Enumeration date Nov 19th, 2016
Last updated Nov 19th, 2016 - about 10 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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Identifiers

StateTypeNumberIssuer
All States NPI 1285177402 NPPES
Minnesota MEDICAID 1699923359

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