Active NPI
Life Evolution Mental Health Counseling, PLLC
- Mental Health Counselor
- Malta, NY
National Provider Identifier
1750286548
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- Legal business name
- LIFE EVOLUTION MENTAL HEALTH COUNSELING, PLLC
- Practice address
- 1139 Laural LN
Malta, NY 12020-4399 - Phone
- (518) 309-2299
- NPI assigned
- Oct 12, 2026
- Last updated
- Oct 12, 2026
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Tammy Myers, LMHC, CASAC
- Title
- Owner
- Phone
- (518) 309-2299
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | NU | ||
| Mental Health Counselor | 101YM0800X | NU | Primary |
Addresses
Primary practice location
1139 Laural LN
Malta, NY 12020-4399
Mailing address
7 Kendall Way Ste 230
Malta, NY 12020-4399
Phone (518) 309-2299
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1791763200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1791763200000",
"number": "1750286548",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7 KENDALL WAY STE 230",
"city": "MALTA",
"state": "NY",
"postal_code": "120204399",
"telephone_number": "518-309-2299"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1139 LAURAL LN",
"city": "MALTA",
"state": "NY",
"postal_code": "120204399",
"telephone_number": "518-309-2299"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "LIFE EVOLUTION MENTAL HEALTH COUNSELING, PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2026-10-12",
"last_updated": "2026-10-12",
"certification_date": "2026-10-08",
"status": "A",
"authorized_official_last_name": "MYERS",
"authorized_official_first_name": "TAMMY",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "518-309-2299",
"authorized_official_credential": "LMHC, CASAC"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Malta, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 12, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.