Evolve Life Services

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Legal business name

EVOLVE LIFE SERVICES

Practice address

209 E Baseline Rd Ste 102
#2
Tempe, AZ 85283-1269

Phone

(602) 579-1711

NPI assigned

Dec 29, 2023

Organization subpart

No

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

Authorized official

Name

Stephanye CarsonNPI 1356056675

Title

Owner

Phone

(602) 579-1711

Specialties & licenses 2

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Stephanye Carson

  • Addiction (Substance Use Disorder) Counselor
  • Tempe, AZ
  • NPI 1356056675
  NPD Authorized official

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

{
    "created_epoch": "1703808000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1705968000000",
    "number": "1861261943",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "111 E BETH DR",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850427657",
            "telephone_number": "602-579-1711"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "209 E BASELINE RD STE 102",
            "address_2": "#2",
            "city": "TEMPE",
            "state": "AZ",
            "postal_code": "852831269",
            "telephone_number": "602-579-1711"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EVOLVE LIFE SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-12-29",
        "last_updated": "2024-01-23",
        "certification_date": "2024-01-23",
        "status": "A",
        "authorized_official_last_name": "CARSON",
        "authorized_official_first_name": "STEPHANYE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "602-579-1711"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 23, 2024; 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.