Evolution Therapeutic Health

Primary specialty

Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X

Legal business name

EVOLUTION THERAPEUTIC HEALTH

Practice address

9500 Medical Center Dr Ste 420
Largo, MD 20774-3716

Phone

(240) 490-3177

NPI assigned

Jun 18, 2021

Organization subpart

No

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

Authorized official

Name

Mr. Lamont Jones

Title

Ceo

Phone

(410) 245-9388

Specialties & licenses 6

Addresses

Tax ID family

Evolution Therapeutic Health3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

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

• Evolution Therapeutic Health

  • Community/Behavioral Health Agency
  • Largo, MD
  • NPI 1285203984
  NPD tax ID
• Evolution Therapeutic Health

  • Substance Use Disorder Rehabilitation Clinic/Center
  • Largo, MD
  • NPI 1285203992
  NPD tax ID

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

{
    "created_epoch": "1623974400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1623974400000",
    "number": "1851960553",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "407 RED MEADOWS CT",
            "city": "REISTERSTOWN",
            "state": "MD",
            "postal_code": "211366229"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9500 MEDICAL CENTER DR STE 420",
            "city": "LARGO",
            "state": "MD",
            "postal_code": "207743716",
            "telephone_number": "240-490-3177"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EVOLUTION THERAPEUTIC HEALTH",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-06-18",
        "last_updated": "2021-06-18",
        "certification_date": "2021-06-18",
        "status": "A",
        "authorized_official_last_name": "JONES",
        "authorized_official_first_name": "LAMONT",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "410-245-9388",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Marriage & Family Therapist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "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
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lisa Evans Albury, LGSW
• Myrtle Evans, DRPH, MSPH, OTR/L
• Claressa Glaspie Everett, LMSW
• Evolution Therapeutic Health
• Evolution Therapeutic Health
• Eze Dental LLC
• Babajide Eyitayo Faditan, MD
• Marcos S Faltamo, CRNA
• Family Service Institute
• Faria Farhat, M.D.

• Mental Health Clinic/Center (Including Community Mental Health Center) in Largo, MD
• Providers in Largo, MD by specialty
• Mental Health Clinic/Center (Including Community Mental Health Center) in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 18, 2021; 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.