NPIMap

Organization Active NPI

Evolving Me Therapeutic Services

  • Mental Health Counselor
  • Owings Mills, MD
National Provider Identifier
1194507756
Registry record updated Oct 18, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Legal business name
EVOLVING ME THERAPEUTIC SERVICES
Practice address
109 Conewago CT
Owings Mills, MD 21117-5058
Phone
(631) 455-8501
NPI assigned
Oct 18, 2023
Last updated
Oct 18, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 18, 2023

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

Authorized official

Name
Mrs. Shanay Dulic, LCSW-CNPI 1235696113
Title
Social Worker/Therapist
Phone
(631) 455-8501

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
Mental Health Counselor 101YM0800X NU Primary

Addresses

Primary practice location

109 Conewago CT
Owings Mills, MD 21117-5058

Mailing address

109 Conewago CT
Owings Mills, MD 21117-5058
Phone (631) 455-8501

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": "1697587200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1697587200000",
    "number": "1194507756",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "109 CONEWAGO CT",
            "city": "OWINGS MILLS",
            "state": "MD",
            "postal_code": "211175058",
            "telephone_number": "631-455-8501"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "109 CONEWAGO CT",
            "city": "OWINGS MILLS",
            "state": "MD",
            "postal_code": "211175058",
            "telephone_number": "631-455-8501"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EVOLVING ME THERAPEUTIC SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-10-18",
        "last_updated": "2023-10-18",
        "certification_date": "2023-10-18",
        "status": "A",
        "authorized_official_last_name": "DULIC",
        "authorized_official_first_name": "SHANAY",
        "authorized_official_title_or_position": "SOCIAL WORKER/THERAPIST",
        "authorized_official_telephone_number": "631-455-8501",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "LCSW-C"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Owings Mills, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 18, 2023; 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.