| Evolve Life Services | |
|
209 E Baseline Rd Ste 102 #2 Tempe AZ 85283-1269 | |
| (602) 579-1711 | |
| Not Available |
| Full Name | Evolve Life Services |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 209 E Baseline Rd Ste 102, Tempe, Arizona |
| Authorized Official Name and Position | Stephanye Carson (OWNER) |
| Authorized Official Contact | 6025791711 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Evolve Life Services 111 E Beth Dr Phoenix AZ 85042-7657 Ph: (602) 579-1711 | Evolve Life Services 209 E Baseline Rd Ste 102 #2 Tempe AZ 85283-1269 Ph: (602) 579-1711 |
| NPI Number | 1861261943 |
|---|---|
| Provider Enumeration Date | 12/29/2023 |
| Last Update Date | 01/23/2024 |
| Certification Date | 01/23/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1861261943 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
| 261Q00000X | Clinic/center | (* (Not Available)) | Secondary |
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