Evolvenchange, LLC

Primary specialty

Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X

Legal business name

EVOLVENCHANGE, LLC

Practice address

1451 Chews Landing Rd Ste 207
Laurel Springs, NJ 08021-2766

Phone

(856) 341-2208

NPI assigned

Jul 2, 2021

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Letisha Hogans, APNNPI 1043872765

Title

Psychiatric Mental Health Nurse Pra

Phone

(609) 422-0923

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Letisha Hogans, APN

  • Psychiatric/Mental Health Nurse Practitioner
  • Marlton, NJ
  • NPI 1043872765
  NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1625184000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1625184000000",
    "number": "1013588862",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1451 CHEWS LANDING RD STE 207",
            "city": "LAUREL SPRINGS",
            "state": "NJ",
            "postal_code": "080212766",
            "telephone_number": "856-341-2208"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1451 CHEWS LANDING RD STE 207",
            "city": "LAUREL SPRINGS",
            "state": "NJ",
            "postal_code": "080212766",
            "telephone_number": "856-341-2208"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EVOLVENCHANGE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-07-02",
        "last_updated": "2021-07-02",
        "certification_date": "2021-07-02",
        "status": "A",
        "authorized_official_last_name": "HOGANS",
        "authorized_official_first_name": "LETISHA",
        "authorized_official_title_or_position": "PSYCHIATRIC MENTAL HEALTH NURSE PRA",
        "authorized_official_telephone_number": "609-422-0923",
        "authorized_official_credential": "APN"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Donnajean Ebert, MSW, LSW
• Eckerd Corporation (Rite Aid Pharmacy 10440)
• Elite Family Dental Care
• Miranda Emerson, LCSW
• Craig S Evans, D.C.
• Eye 2 Eye Counseling Center
• Carol B. Finkel, PHD
• Samuel Ford
• G Lee Lerch & Associates, PA
• Gericare Assoc LLC

• Mental Health Clinic/Center (Including Community Mental Health Center) in Laurel Springs, NJ
• Providers in Laurel Springs, NJ by specialty
• Mental Health Clinic/Center (Including Community Mental Health Center) in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 2, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.