Evolve Behavioral Health

Primary specialty

Substance Use Disorder Rehabilitation Clinic/CenterTaxonomy code 261QR0405X

Legal business name

EVOLVE BEHAVIORAL HEALTH

Doing business as

Celadon Recovery

Practice address

14260 Metropolis Ave Ste 102
Fort Myers, FL 33912-4436

Phone

(239) 880-3990

NPI assigned

Jan 13, 2022

Organization subpart

No

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

Authorized official

Name

Mr. Brian Walowitz

Title

Director of Technology

Phone

(239) 880-3990

Specialties & licenses 3

Addresses

Other names 1

• Celadon Recovery Doing business as

Tax ID family

Celadon Recovery2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Evolve Behavioral Health

  dba Celadon Recovery

  • Psychiatric Residential Treatment Facility
  • Fort Myers, FL
  • NPI 1649813858
  NPD tax ID

Locations

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

{
    "created_epoch": "1642032000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1661731200000",
    "number": "1538810304",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14260 METROPOLIS AVE STE 101",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339124436",
            "telephone_number": "239-880-3990"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14260 METROPOLIS AVE STE 102",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339124436",
            "telephone_number": "239-880-3990"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EVOLVE BEHAVIORAL HEALTH",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-01-13",
        "last_updated": "2022-08-29",
        "certification_date": "2022-08-29",
        "status": "A",
        "authorized_official_last_name": "WALOWITZ",
        "authorized_official_first_name": "BRIAN",
        "authorized_official_title_or_position": "DIRECTOR OF TECHNOLOGY",
        "authorized_official_telephone_number": "239-880-3990",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QM0855X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adolescent and Children Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QR0405X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation, Substance Use Disorder",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Celadon Recovery",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Celadon Recovery",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Jeannine Louise Everett, ARNP
• Nakiyah Everett
• Evernorth Direct Health LLC
• Evertrust Health LLC
• Evolve Behavior Therapy Services LLC
• Evolve Behavioral Health (Celadon Recovery)
• Excellence Home Care Nurse Registry, LLC.
• Excellence Taxi
• Exceptional Services ABA LLC
• Executive Health, LLC (Harrington's Pharmacy)

• Substance Use Disorder Rehabilitation Clinic/Center in Fort Myers, FL
• Providers in Fort Myers, FL by specialty
• Substance Use Disorder Rehabilitation Clinic/Center in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 29, 2022; 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.