Evolve Therapeutic Solutions
Clinic/Center, Adult Mental Health in Capitol Heights, MD. Organization (NPI-2).
NPI number1457237984
StatusActive
Last updated in NPPESAug 12, 2025
Details
- NPI
- 1457237984
- Entity type
- Organization (NPI-2)
- Legal business name
- Evolve Therapeutic Solutions
- Organization subpart
- No
- Enumeration date
- Aug 12, 2025
- Certification date
- Aug 12, 2025
- Last updated
- Aug 12, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 261QM0850X | Clinic/Center, Adult Mental Health | – | – | Yes |
| 251S00000X | Community/Behavioral Health | – | – |
Practice location
1905 Brooks Dr Apt 204Capitol Heights, MD 20743-5508
Phone 304-710-4980
Mailing address
1905 Brooks Dr Apt 204Capitol Heights, MD 20743-5508
Phone 304-710-4980
Authorized official
Leanna Denise White
Owner
3047104980
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