Evolution Skincare Studio

Primary specialty

Federally Qualified Health Center (FQHC)Taxonomy code 261QF0400X

Legal business name

EVOLUTION SKINCARE STUDIO

Practice address

24777 Greenfield Rd
Southfield, MI 48075-3065

Phone

(313) 779-1687

NPI assigned

Dec 25, 2021

Organization subpart

Yes

Parent organization

EVOLUTION SKINCARE STUDIOAs reported in NPPES

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

Authorized official

Name

Trina M HarperNPI 1780273938

Title

Ceo

Phone

(313) 779-1687

Specialties & licenses 1

Addresses

Part of

Evolution Skincare Studio

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.

• Trina Harper

  • Mental Health Counselor
  • Southfield, MI
  • NPI 1780273938
  Authorized official Same address or phone

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

{
    "created_epoch": "1640390400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1640390400000",
    "number": "1356001804",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24777 GREENFIELD RD",
            "city": "SOUTHFIELD",
            "state": "MI",
            "postal_code": "480753065",
            "telephone_number": "313-779-1687"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24777 GREENFIELD RD",
            "city": "SOUTHFIELD",
            "state": "MI",
            "postal_code": "480753065",
            "telephone_number": "313-779-1687"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EVOLUTION SKINCARE STUDIO",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "EVOLUTION SKINCARE STUDIO",
        "enumeration_date": "2021-12-25",
        "last_updated": "2021-12-25",
        "certification_date": "2021-12-25",
        "status": "A",
        "authorized_official_last_name": "HARPER",
        "authorized_official_first_name": "TRINA",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "313-779-1687"
    },
    "taxonomies": [
        {
            "code": "261QF0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Federally Qualified Health Center (FQHC)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Evergreen Health and Rehabilitation Center, LLC (Evergreen Health and Living Center)
• Evergreen Home Health Care
• Emily Virginia Evers
• Everyday Pharmacy & Supply LLC
• Everything New Medical Care PLLC
• Evolutionary Intervention LLC
• Evolutions Counseling and Consulting
• Evolve Awareness & Management
• Evolving Evolutions LLC (E2)
• Evolving Home Health Care Services LLC (Evolving Health Care Services)

• Federally Qualified Health Center (FQHC) in Southfield, MI
• Providers in Southfield, MI by specialty
• Federally Qualified Health Center (FQHC) in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 25, 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.