Evolution Unlimited II

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

License

AC1434 Issued in MD

Legal business name

EVOLUTION UNLIMITED II

Practice address

10632 Little Patuxent Pkwy Ste 200
Columbia, MD 21044-6250

Phone

(410) 370-8544

NPI assigned

Feb 21, 2017

Organization subpart

No

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

Authorized official

Name

Ms. Theresa Thomas, NCAC II

Title

Program Director

Phone

(410) 370-8544

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1487635200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1487635200000",
    "number": "1548709744",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1632 LITTLE PATUXENT PKWY SUITE 100",
            "address_2": "CENTURY PLAZA 2000",
            "city": "COLUMBIA",
            "state": "MD",
            "postal_code": "21044",
            "telephone_number": "410-370-8544"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10632 LITTLE PATUXENT PKWY STE 200",
            "city": "COLUMBIA",
            "state": "MD",
            "postal_code": "210446250",
            "telephone_number": "410-370-8544"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EVOLUTION UNLIMITED II",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-02-21",
        "last_updated": "2017-02-21",
        "status": "A",
        "authorized_official_last_name": "THOMAS",
        "authorized_official_first_name": "THERESA",
        "authorized_official_title_or_position": "PROGRAM DIRECTOR",
        "authorized_official_telephone_number": "410-370-8544",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "NCAC II"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "MD",
            "license": "AC1434",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Providers in Columbia, MD by specialty
• Community/Behavioral Health Agency in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 21, 2017; 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.