Evolve Wellness LLC

Primary specialty

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

Legal business name

EVOLVE WELLNESS LLC

Practice address

3430 E Flamingo Rd Ste 309
Las Vegas, NV 89121-5066

Phone

(725) 204-2578

Fax

(702) 476-9431

NPI assigned

Sep 22, 2022

Organization subpart

No

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

Authorized official

Name

Madeleine Navarro DiazNPI 1962157123

Title

Owner

Phone

(725) 204-2578

Specialties & licenses 1

Addresses

Tax ID family

Evolve Wellness 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.

• Evolve Wellness LLC

  • Psychiatry Physician
  • Las Vegas, NV
  • NPI 1699406769
  NPD tax ID

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Madeleine Navarro Diaz

  • Personal Care Attendant
  • Las Vegas, NV
  • NPI 1962157123
  NPD Authorized official

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

{
    "created_epoch": "1663804800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1684713600000",
    "number": "1972226231",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3430 E FLAMINGO RD STE 309",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891215066",
            "telephone_number": "702-427-9040",
            "fax_number": "702-476-9431"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3430 E FLAMINGO RD STE 309",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891215066",
            "telephone_number": "725-204-2578",
            "fax_number": "702-476-9431"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EVOLVE WELLNESS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-09-22",
        "last_updated": "2023-05-22",
        "certification_date": "2023-05-22",
        "status": "A",
        "authorized_official_last_name": "NAVARRO DIAZ",
        "authorized_official_first_name": "MADELEINE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "725-204-2578"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Evolve Counseling and Learning Enrichment Center, LLC
• Evolve Health NV Carter PLLC
• Evolve Pelvic PT LLC
• Evolve Resource Management
• Evolve Wellness LLC
• Evolve Wellness Professional Corp
• Evolving Minds Behavioral Health Services
• Evolving Minds Therapy (Emt) LLC
• Samuel Ewalefo, MD
• Lindsey Ewaliko

• Mental Health Clinic/Center (Including Community Mental Health Center) in Las Vegas, NV
• Providers in Las Vegas, NV by specialty
• Mental Health Clinic/Center (Including Community Mental Health Center) in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 22, 2023; 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.