Diverse Evolution Services LLC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Legal business name

DIVERSE EVOLUTION SERVICES LLC

Practice address

6575 West Loop S
Bellaire, TX 77401-3521

Phone

(410) 301-1409

NPI assigned

Sep 26, 2025

Last updated

Oct 17, 2025By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Tynesha Edwards

Title

Manager

Phone

(410) 301-1409

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1758844800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1760659200000",
    "number": "1043183965",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6575 WEST LOOP S",
            "city": "BELLAIRE",
            "state": "TX",
            "postal_code": "774013521",
            "telephone_number": "410-301-1409"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6575 WEST LOOP S",
            "city": "BELLAIRE",
            "state": "TX",
            "postal_code": "774013521",
            "telephone_number": "410-301-1409"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DIVERSE EVOLUTION SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-09-26",
        "last_updated": "2025-10-17",
        "certification_date": "2025-10-17",
        "status": "A",
        "authorized_official_last_name": "EDWARDS",
        "authorized_official_first_name": "TYNESHA",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "410-301-1409"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Mental Health Counselor in Bellaire, TX
• Providers in Bellaire, TX by specialty
• Mental Health Counselor in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 17, 2025; 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.