Evolve Modern: Mind & Body Wellbeing, LLC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

Legal business name

EVOLVE MODERN: MIND & BODY WELLBEING, LLC

Practice address

1500 Harrison Ave Ste 3
Elkins, WV 26241-3492

Phone

(304) 242-3792

NPI assigned

Sep 14, 2022

Organization subpart

No

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

Authorized official

Name

Delaina Joy Szafraniec, LPCNPI 1841801289

Title

Owner

Phone

(304) 242-3792

Specialties & licenses 1

Addresses

Locations

Practitioners 3

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

• Delaina Joy Szafraniec, LPC

  • Mental Health Counselor
  • Chesapeake, VA
  • NPI 1841801289
  NPD Authorized official
• Ronda Suder

  • Counselor
  • Bridgeport, WV
  • NPI 1386332435
  NPD (past)
• Ashley Battle

  • Clinical Social Worker
  • Virginia Beach, VA
  • NPI 1790486215
  NPD (past)

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

{
    "created_epoch": "1663113600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1663113600000",
    "number": "1619699873",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1500 HARRISON AVE STE 3",
            "city": "ELKINS",
            "state": "WV",
            "postal_code": "262413492",
            "telephone_number": "304-242-3792"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1500 HARRISON AVE STE 3",
            "city": "ELKINS",
            "state": "WV",
            "postal_code": "262413492",
            "telephone_number": "304-242-3792"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EVOLVE MODERN: MIND & BODY WELLBEING, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-09-14",
        "last_updated": "2022-09-14",
        "certification_date": "2022-09-14",
        "status": "A",
        "authorized_official_last_name": "SZAFRANIEC",
        "authorized_official_first_name": "DELAINA",
        "authorized_official_middle_name": "JOY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "304-242-3792",
        "authorized_official_credential": "LPC"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sarah Evans
• Shynna Jane Everett
• Latrisha Everson
• Valerie M Everson, RN
• Marciea Evick, D.D.S.
• Excel Eyecare, LLC
• Ginger Anne Exline
• Eye Works PLLC
• Eye Works PLLC
• David W. Facello, DO

• Professional Counselor in Elkins, WV
• Providers in Elkins, WV by specialty
• Professional Counselor in West Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 14, 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.