NPIMap

Organization Active NPI

Evolve Therapeutic Counseling Services, LLC

  • Mental Illness Community Based Residential Treatment Facility
  • Hampton, VA
National Provider Identifier
1962688341
Registry record updated Jan 15, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Illness Community Based Residential Treatment FacilityTaxonomy code 320800000X
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
Jan 15, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 15, 2008

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

Authorized official

Name
Victor M Moody
Title
Vice President
Phone
(757) 224-7986

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Illness Community Based Residential Treatment Facility 320800000X VA Primary

Addresses

Primary practice location

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

Mailing address

PO Box 7429
Hampton, VA 23666-0429
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": "1200355200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1200355200000",
    "number": "1962688341",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 7429",
            "city": "HAMPTON",
            "state": "VA",
            "postal_code": "236660429",
            "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": "2008-01-15",
        "last_updated": "2008-01-15",
        "status": "A",
        "authorized_official_last_name": "MOODY",
        "authorized_official_first_name": "VICTOR",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "VICE PRESIDENT",
        "authorized_official_telephone_number": "757-224-7986"
    },
    "taxonomies": [
        {
            "code": "320800000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Mental Illness",
            "state": "VA",
            "license": null,
            "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 Jan 15, 2008; 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.