Evolve Therapeutic Wellness Center

Primary specialty

CounselorTaxonomy code 101Y00000X

Legal business name

EVOLVE THERAPEUTIC WELLNESS CENTER

Practice address

3330 70TH St Ste 115
Lubbock, TX 79413-6136

Phone

(806) 252-3421

NPI assigned

Aug 23, 2021

Organization subpart

No

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

Authorized official

Name

Mr. Michael Robin Casey, LPC-S

Title

Owner

Phone

(806) 252-3421

Specialties & licenses 2

Addresses

Locations

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

{
    "created_epoch": "1629676800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1629676800000",
    "number": "1073289674",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3330 70TH ST STE 115",
            "city": "LUBBOCK",
            "state": "TX",
            "postal_code": "794136136",
            "telephone_number": "806-252-3421"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3330 70TH ST STE 115",
            "city": "LUBBOCK",
            "state": "TX",
            "postal_code": "794136136",
            "telephone_number": "806-252-3421"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EVOLVE THERAPEUTIC WELLNESS CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-08-23",
        "last_updated": "2021-08-23",
        "certification_date": "2021-08-23",
        "status": "A",
        "authorized_official_last_name": "CASEY",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "ROBIN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "806-252-3421",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "LPC-S"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Joseph Dylan Everett, D.D.S.
• Evergrace Comfort Care LLC
• Everly Counseling Services, PLLC
• Every Story Counseling, PLLC
• Evolve Aesthetics & Wellness
• Exceptional H C Lubbock LLC
• Exceptional Health Care Lubbock LLC (Exceptional Community Hospital Lubbock)
• Exceptional Physicians Group Lubbock Hospital PLLC
• Exceptional Physicians Group Lubbock PLLC
• Express Medical Supply, LTD. (AeroCare)

• Counselor in Lubbock, TX
• Providers in Lubbock, TX by specialty
• Counselor in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 23, 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.