Evolve Wellness Centre, LLC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

Legal business name

EVOLVE WELLNESS CENTRE, LLC

Doing business as

Evolve Wellness Group

Practice address

9080 Greenwell St
Baton Rouge, LA 70812-2519

Phone

(225) 206-4060

Fax

(225) 372-8649

NPI assigned

Jun 17, 2020

Organization subpart

Yes

Parent organization

EVOLVE WELLNESS CENTRE, LLCAs reported in NPPES

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

Authorized official

Name

Dr. Shalanda Judge, EDDNPI 1003170051

Title

Owner

Phone

(225) 206-4060

Specialties & licenses 2

Addresses

Other names 1

• Evolve Wellness Group Doing business as

Electronic endpoints 1

Part of

Evolve Wellness Centre LLC

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Shalanda R Judge, ED.D.

  • Counselor
  • Baton Rouge, LA
  • NPI 1003170051
  NPD Authorized official

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

{
    "created_epoch": "1592352000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1592352000000",
    "number": "1386260289",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9080 GREENWELL ST",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "708122519",
            "telephone_number": "225-206-4060",
            "fax_number": "225-372-8649"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9080 GREENWELL ST",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "708122519",
            "telephone_number": "225-206-4060",
            "fax_number": "225-372-8649"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EVOLVE WELLNESS CENTRE, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "EVOLVE WELLNESS CENTRE, LLC",
        "enumeration_date": "2020-06-17",
        "last_updated": "2020-06-17",
        "certification_date": "2020-06-17",
        "status": "A",
        "authorized_official_last_name": "JUDGE",
        "authorized_official_first_name": "SHALANDA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "225-206-4060",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "EDD"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Speech-Language Pathologist",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "crescentgrp@gmail.com",
            "affiliation": "N",
            "endpointDescription": "email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "9080 Greenwell St",
            "city": "Baton Rouge",
            "state": "LA",
            "country_code": "US",
            "postal_code": "708122519",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Evolve Wellness Group",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Professional Counselor in Baton Rouge, LA
• Providers in Baton Rouge, LA by specialty
• Professional Counselor in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 2020; 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.