NPIMap

Organization Active NPI

Evolve Therapeutic Counseling Services, LLC

  • Community/Behavioral Health Agency
  • Hampton, VA
National Provider Identifier
1700104536
Registry record updated May 4, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
1095-05 Issued in VA
Legal business name
EVOLVE THERAPEUTIC COUNSELING SERVICES, LLC
Practice address
2021B Cunningham Dr
Suite 2
Hampton, VA 23666-3326
Phone
(757) 224-7986
Fax
(757) 224-8321
NPI assigned
May 4, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 4, 2010

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

Authorized official

Name
Mr. Victor M Moody
Title
Owner
Phone
(757) 224-7986

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X 1095-05 VA Primary

Addresses

Primary practice location

2021B Cunningham Dr
Suite 2
Hampton, VA 23666-3326

Mailing address

2021B Cunningham Dr
Suite 2
Hampton, VA 23666-3326
Phone (757) 224-7986

National Provider Directory

National Provider Directory
Tax ID family
Evolve Therapeutic Counseling Services LLC2 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.

NPI Registry JSON

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

{
    "created_epoch": "1272931200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1272931200000",
    "number": "1700104536",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2021B CUNNINGHAM DR",
            "address_2": "SUITE 2",
            "city": "HAMPTON",
            "state": "VA",
            "postal_code": "236663326",
            "telephone_number": "757-224-7986",
            "fax_number": "757-224-8321"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2021B CUNNINGHAM DR",
            "address_2": "SUITE 2",
            "city": "HAMPTON",
            "state": "VA",
            "postal_code": "236663326",
            "telephone_number": "757-224-7986",
            "fax_number": "757-224-8321"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EVOLVE THERAPEUTIC COUNSELING SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-05-04",
        "last_updated": "2010-05-04",
        "status": "A",
        "authorized_official_last_name": "MOODY",
        "authorized_official_first_name": "VICTOR",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "757-224-7986",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "VA",
            "license": "1095-05",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hampton, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 4, 2010; 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.