Evolution Wellness Center Inc

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Legal business name

EVOLUTION WELLNESS CENTER INC

Practice address

14750 NW 77TH CT Ste 206
Miami Lakes, FL 33016-1507

Phone

(786) 238-7959

NPI assigned

Jan 26, 2024

Last updated

Apr 4, 2024By 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

Rey Bermudez

Title

Owner

Phone

(786) 797-1452

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Locations

Practitioners 3

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.

• Olga M Montpellier, LMHC

  • Mental Health Counselor
  • Coral Gables, FL
  • NPI 1710158555
  Medicare reassignment
• Jenny Parra, MD

  • Psychiatry Physician
  • Cutler Bay, FL
  • NPI 1235759523
  Medicare reassignment
• Eliana Szwarc, LMFT

  • Marriage & Family Therapist
  • Miami, FL
  • NPI 1356028245
  NPD

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

{
    "created_epoch": "1706227200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1712188800000",
    "number": "1154183945",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "561 NW 182ND WAY",
            "city": "PEMBROKE PINES",
            "state": "FL",
            "postal_code": "330293689",
            "telephone_number": "786-797-1452"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14750 NW 77TH CT STE 206",
            "city": "MIAMI LAKES",
            "state": "FL",
            "postal_code": "330161507",
            "telephone_number": "786-238-7959"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EVOLUTION WELLNESS CENTER INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-01-26",
        "last_updated": "2024-04-04",
        "certification_date": "2024-04-04",
        "status": "A",
        "authorized_official_last_name": "BERMUDEZ",
        "authorized_official_first_name": "REY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "786-797-1452"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Community/Behavioral Health Agency in Miami Lakes, FL
• Providers in Miami Lakes, FL by specialty
• Community/Behavioral Health Agency in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 4, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.