Evolution Recovery Services LLC

Primary specialty

Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X

Legal business name

EVOLUTION RECOVERY SERVICES LLC

Doing business as

Evolution House LLC

Practice address

4622 Rochambeau Dr
Williamsburg, VA 23188-7114

Phone

(757) 239-1462

NPI assigned

Apr 15, 2021

Last updated

Apr 15, 2021By 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

Jefferey Carver

Title

Owner

Phone

(757) 239-1462

Specialties & licenses 1

Addresses

Other names 1

• Evolution House LLC Doing business as

Electronic endpoints 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

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

{
    "created_epoch": "1618444800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1618444800000",
    "number": "1063093748",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 485",
            "city": "NORGE",
            "state": "VA",
            "postal_code": "231270485",
            "telephone_number": "757-239-1462"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4622 ROCHAMBEAU DR",
            "city": "WILLIAMSBURG",
            "state": "VA",
            "postal_code": "231887114",
            "telephone_number": "757-239-1462"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EVOLUTION RECOVERY SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-04-15",
        "last_updated": "2021-04-15",
        "certification_date": "2021-04-15",
        "status": "A",
        "authorized_official_last_name": "CARVER",
        "authorized_official_first_name": "JEFFEREY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "757-239-1462"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "info@evolutionhouse.org",
            "affiliation": "N",
            "address_1": "4622 Rochambeau Dr",
            "city": "Williamsburg",
            "state": "VA",
            "country_code": "US",
            "postal_code": "231887114",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Evolution House LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Carla M Evans, FNP
• Derek M Evans, OD
• Peter S Evans, MS DDS MAGD
• Jessica Neejer Evers, LPTA
• Evolution Counseling Services, LLC
• Cleve Winfield Ewell III, M.D.
• Eye 2 Eye Vision Center PC
• Traci J Fairheart, DPT
• Lauren Dickey Faisant, LCSW
• Faith Hope Care Provider

• Addiction (Substance Use Disorder) Counselor in Williamsburg, VA
• Providers in Williamsburg, VA by specialty
• Addiction (Substance Use Disorder) Counselor in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 15, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.