| Evolve Wellness Centre, Llc | |
|
9080 Greenwell St Baton Rouge LA 70812-2519 | |
| (225) 206-4060 | |
| (225) 372-8649 |
| Full Name | Evolve Wellness Centre, Llc |
|---|---|
| Speciality | Counselor - Professional |
| Location | 9080 Greenwell St, Baton Rouge, Louisiana |
| Authorized Official Name and Position | Shalanda Judge (OWNER) |
| Authorized Official Contact | 2252064060 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Evolve Wellness Centre, Llc 9080 Greenwell St Baton Rouge LA 70812-2519 Ph: (225) 206-4060 | Evolve Wellness Centre, Llc 9080 Greenwell St Baton Rouge LA 70812-2519 Ph: (225) 206-4060 |
| NPI Number | 1386260289 |
|---|---|
| Provider Enumeration Date | 06/17/2020 |
| Last Update Date | 06/17/2020 |
| Certification Date | 06/17/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1386260289 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | (* (Not Available)) | Primary |
| 235Z00000X | Speech-language Pathologist | (* (Not Available)) | Secondary |
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