Evolve Outreach of Texas LLC

Primary specialty

Case Management AgencyTaxonomy code 251B00000X

Legal business name

EVOLVE OUTREACH OF TEXAS LLC

Practice address

2101 Crawford St Ste 311
Houston, TX 77002-8941

Phone

(844) 553-8658

NPI assigned

May 11, 2016

Last updated

Jun 23, 2019By 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

Victor Moody

Title

Manager

Phone

(832) 930-4898

Specialties & licenses 4

Addresses

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Locations

Practitioners 2

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.

• Deanna Kay Abraham, LPC- S

  • Mental Health Counselor
  • Houston, TX
  • NPI 1124332572
  Medicare reassignment
• Stacey Lawrence Rawls, MD

  • Neurology Physician
  • Houston, TX
  • NPI 1043249774
  Medicare reassignment

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

{
    "created_epoch": "1462924800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1561248000000",
    "number": "1316393192",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2101 CRAWFORD ST STE 311",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770028941",
            "telephone_number": "832-930-4898"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2101 CRAWFORD ST STE 311",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770028941",
            "telephone_number": "844-553-8658"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EVOLVE OUTREACH OF TEXAS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-05-11",
        "last_updated": "2019-06-23",
        "status": "A",
        "authorized_official_last_name": "MOODY",
        "authorized_official_first_name": "VICTOR",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "832-930-4898"
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "TX",
            "license": "58768",
            "primary": false
        },
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "TX",
            "license": "Q4831",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Evolve Counseling and Consultation, PLLC
• Evolve Hand Therapy and Wellness LLC
• Evolve Hydrotherapy & Wellness Services LLC
• Evolve Medical Imaging
• Evolve Mental Health & Wellness PLLC
• Evolve TX Therapy Services
• Evolve Yourself Inc
• Evolve Yourself LLC
• Evolving and Emerging U PLLC
• Stephanie J Evuleocha, SPECIALIST

• Case Management Agency in Houston, TX
• Providers in Houston, TX by specialty
• Case Management Agency in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 23, 2019; 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.