Organization Active NPI

Evolvinn Therapy

Doing business as Evolvinn Therapy and Consulting

  • Clinical Psychologist
  • Fredericksburg, VA
National Provider Identifier
1104696467
Registry record updated Nov 21, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
Legal business name
EVOLVINN THERAPY
Doing business as
Evolvinn Therapy and Consulting
Practice address
8504 Laroque Run Dr
Fredericksburg, VA 22407-1932
Phone
(703) 520-7878
NPI assigned
Jan 8, 2024
Last updated
Nov 21, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 21, 2025

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

Authorized official

Name
Laurie Dos Santos, PSYDNPI 1972766087
Title
Founder/Clinical Psychologist
Phone
(703) 520-7878

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical PsychologistGroup: 193200000X MULTI-SPECIALTY GROUP 103TC0700X Primary

Addresses

Primary practice location

8504 Laroque Run Dr
Fredericksburg, VA 22407-1932

Mailing address

1390 Chain Bridge Rd # 50032
MC Lean, VA 22101-3904
Phone (703) 520-7878

Other names 1

  • Evolvinn Therapy and Consulting Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1704672000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1763683200000",
    "number": "1104696467",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1390 CHAIN BRIDGE RD # 50032",
            "city": "MC LEAN",
            "state": "VA",
            "postal_code": "221013904",
            "telephone_number": "703-520-7878"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8504 LAROQUE RUN DR",
            "city": "FREDERICKSBURG",
            "state": "VA",
            "postal_code": "224071932",
            "telephone_number": "703-520-7878"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EVOLVINN THERAPY",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-01-08",
        "last_updated": "2025-11-21",
        "certification_date": "2025-11-21",
        "status": "A",
        "authorized_official_last_name": "DOS SANTOS",
        "authorized_official_first_name": "LAURIE",
        "authorized_official_title_or_position": "FOUNDER/CLINICAL PSYCHOLOGIST",
        "authorized_official_telephone_number": "703-520-7878",
        "authorized_official_credential": "PSYD"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Evolvinn Therapy and Consulting",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Fredericksburg, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 21, 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.